title: Intracardiac Extension of Intravenous Leiomyomatosis.
abstract: Intravenous leiomyomatosis with intracardiac extension is a rare condition characterized by extensive growth of a benign uterine mass that extends into the venous system through uterine channels and then into the cardiac chambers. A variety of presentations exist; cure relies on complete surgical resection. Extensive abdominal dissection, cardiopulmonary bypass (with or without circulatory arrest), and removal of the intracaval component are required. However, because of the rarity and variety of presentation, exact preferred management has not been well defined. A specific case, followed by a comprehensive literature review, helps delineate the specific decision making necessary for mass removal.
authors.affiliation: Department of Cardiothoracic Surgery, Mount Sinai St. Luke's Hospital, New York, New York.
authors.forename: Jonathan D
authors.initials: JD
authors.lastname: Price
authors.affiliation: Department of Cardiothoracic Surgery, Mount Sinai St. Luke's Hospital, New York, New York.
authors.forename: Constantine
authors.initials: C
authors.lastname: Anagnostopoulos
authors.affiliation: Division of Vascular Surgery, Mount Sinai St. Luke's Hospital, New York, New York.
authors.forename: Alan
authors.initials: A
authors.lastname: Benvenisty
authors.affiliation: Department of Cardiothoracic Surgery, Mount Sinai St. Luke's Hospital, New York, New York.
authors.forename: Ravi K
authors.initials: RK
authors.lastname: Kothuru
authors.affiliation: Department of Cardiothoracic Surgery, Mount Sinai St. Luke's Hospital, New York, New York. Electronic address: sbalaram@chpnet.org.
authors.forename: Sandhya K
authors.initials: SK
authors.lastname: Balaram
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods; D005260:Female; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery*; D006801:Humans; D018231:Leiomyomatosis / Q000000981:diagnostic imaging* / Q000601:surgery; D008279:Magnetic Resonance Imaging / Q000379:methods; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*