[One-stage resection of intravenous leiomyomatosis extending into the right atrium].
Intravenous leiomyomatosis (IVL) is a benign tumor that originates from a uterine myoma and rarely extends to the heart through the inferior vena cava (IVC). Echocardiography revealed an abnormal mass in the right atrium in a 63-year-old asymptomatic woman. Preoperative examination revealed a tumor extending from a myoma through the right internal iliac vein to the right atrium, and the patient was diagnosed with IVL. She underwent sternotomy combined with laparotomy, and the intravenous and intracardiac tumor was removed under normothermic cardiopulmonary bypass without cardiac arrest. Hysterectomy and bilateral adnexectomy were also performed. No additional therapy was required after surgery.
Department of Cardiovascular Surgery, Nikko Memorial Hospital, Muroran, Japan.
Akihito
A
Yanagiya
Osamu
O
Yamada
Tadafumi
T
Nanbu
Hiromi
H
Hamada
Joji
J
Takada
Motoki
M
Matsuura
Yuta
Y
Tabuchi
D006348:Cardiac Surgical Procedures / Q000379:methods*; D002315:Cardiopulmonary Bypass; D003952:Diagnostic Imaging; D005260:Female; D006325:Heart Atria / Q000473:pathology / Q000601:surgery*; D006338:Heart Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007813:Laparotomy; D018231:Leiomyomatosis / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D013247:Sternoclavicular Joint; D016896:Treatment Outcome; D019043:Vascular Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*; D014682:Vena Cava, Inferior / Q000473:pathology / Q000601:surgery*