Orthostatic hypotension and right heart failure as the initial manifestation of intravenous leiomyomatosis.
A 36-year-old woman, who had a history of myomectomy, presented with lightheadedness after changing position from sitting to standing and effort-related shortness of breath. Echocardiography demonstrated a hyperechoic elongated mobile mass extending from the inferior caval vein to the right atrium. The mass was surgically removed, and histological examination established the diagnosis of intravenous leiomyomatosis. This case caught the attention of our cardiology group to consider the diagnosis when an inferior caval vein or right atrium mass is found in a patient with a history of uterine leiomyomatosis.
1Department of Cardiology,Affiliated Hospital of Hebei University,Baoding,China.
Ya-Qin
YQ
Li
2Department of Radiology,Affiliated Hospital of Hebei University,Baoding,China.
Xiao-Ping
XP
Yin
1Department of Cardiology,Affiliated Hospital of Hebei University,Baoding,China.
Zhan-Wen
ZW
Xu
D000328:Adult; D004452:Echocardiography; D005260:Female; D006325:Heart Atria / Q000503:physiopathology*; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D007024:Hypotension, Orthostatic / Q000209:etiology*; D018231:Leiomyomatosis / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D019043:Vascular Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D014682:Vena Cava, Inferior
Intravenous leiomyomatosis; orthostatic hypotension; right heart failure