title: Surgical Treatment of Intracardiac-Extending Intravenous Leiomyomatosis: A Single Center Experience.
abstract: BACKGROUND
  Few data were known on surgical management of intracardiac-extending in patients with intravenous leiomyomatosis (IVL).
  
  
  METHODS
  From June 2007 to December 2014, six women (mean age, 39.3 ± 7.5 years; range, 24-55 years) with intracardiac-extending IVL were treated surgically at our hospital. Data were obtained from medical and pathological records, including characteristics of patients, surgical management, and follow-up.
  
  
  RESULTS
  Surgery was performed successfully in all patients. Of 6 patients, 4 underwent one-stage operation and 2 underwent two-stage procedures. Circulatory arrest with hypothermia was used for a cardiotomy combined with venotomy in 5 patients. Complete resection was done in 5 patients. There were no perioperative deaths or complications in any of the patients. Hospital stay was 11.2 ± 2.9 days (range 7-15 days). All patients were followed-up for a mean of 41.0 ± 19.1 months (range, 17-69 months) after surgery. A recurrence of pelvic mass was found in 1 patient, but no symptoms or intravenous mass were reported. No obstruction occurred in any patient with a venotomy.
  
  
  CONCLUSIONS
  Surgery is a better therapy for IVL and complete removal has favorable outcomes.
authors.affiliation: Department of Cardiovascular Surgery, General Hospital of Beijing Military Region, Beijing, China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Li
authors.affiliation: Department of Stomatology, 309th Hospital of PLA, Beijing, China.
authors.forename: Nan
authors.initials: N
authors.lastname: Yang
authors.affiliation: Department of Cardiovascular Surgery, General Hospital of Beijing Military Region, Beijing, China.
authors.forename: Long
authors.initials: L
authors.lastname: Lu
authors.affiliation: Department of Cardiovascular Surgery, General Hospital of Beijing Military Region, Beijing, China.
authors.forename: Fengxia
authors.initials: F
authors.lastname: Ma
authors.affiliation: Department of Cardiovascular Surgery, General Hospital of Beijing Military Region, Beijing, China.
authors.forename: Jianmin
authors.initials: J
authors.lastname: Yao
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D018231:Leiomyomatosis / Q000601:surgery*; D007902:Length of Stay; D008875:Middle Aged; D016896:Treatment Outcome; D019043:Vascular Neoplasms / Q000601:surgery*