title: Intracardiac Leiomyomatosis - an Unusual Cause of Syncope in a Middle-Aged Woman.
abstract: Intracardiac leiomyomatosis is a rare complication that occurs when a uterine leiomyoma (fibroid) undergoes vascular invasion and propagates within the inferior vena cava to reach the right atrium. This article describes a case of intracardiac leiomyomatosis in a middle-aged woman, exploring the presentation, diagnosis and surgical management of this condition. In this case the presenting complaints were syncope and atrial fibrillation, illustrating the importance of performing a transthoracic echocardiogram in patients presenting with their first episode of atrial fibrillation. Clinicians should consider intracardiac leiomyomatosis when evaluating women with right heart masses, especially those with a history of uterine leiomyomas.
authors.affiliation: University of Queensland, Brisbane, Qld, Australia; Toowoomba Hospital, Toowoomba, Qld, Australia. Electronic address: sam.fogarty@uqconnect.edu.au.
authors.forename: Samuel J
authors.initials: SJ
authors.lastname: Fogarty
authors.affiliation: The Wesley Hospital, Brisbane, Qld, Australia.
authors.forename: Graeme
authors.initials: G
authors.lastname: Hart
authors.affiliation: The Wesley Hospital, Brisbane, Qld, Australia.
authors.forename: Jim
authors.initials: J
authors.lastname: Nicklin
authors.affiliation: The Wesley Hospital, Brisbane, Qld, Australia.
authors.forename: Bala
authors.initials: B
authors.lastname: Venkatesh
authors.affiliation: The Wesley Hospital, Brisbane, Qld, Australia.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Boyne
authors.affiliation: The Wesley Hospital, Brisbane, Qld, Australia.
authors.forename: David C
authors.initials: DC
authors.lastname: Wong
authors.affiliation: QML Pathology, Murarrie, Qld, Australia.
authors.forename: Jason L
authors.initials: JL
authors.lastname: Stone
authors.affiliation: The Wesley Hospital, Brisbane, Qld, Australia; Heart Care Partners, Qld, Australia.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Rainbird
mesh_terms: D001281:Atrial Fibrillation / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D004452:Echocardiography; D005260:Female; D006338:Heart Neoplasms / Q000503:physiopathology / Q000556:secondary / Q000601:surgery; D006801:Humans; D018231:Leiomyomatosis / Q000503:physiopathology / Q000601:surgery; D008875:Middle Aged; D013575:Syncope / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D014594:Uterine Neoplasms / Q000503:physiopathology / Q000601:surgery
keywords: Atrial fibrillation; Cardiac tumour; Intracardiac leiomyomatosis; Intravenous leiomyomatosis; Syncope