Korean J Thorac Cardiovasc Surg.
2005 Jun;38(6):441-444.
Successful Removal of Intravenous Leiomyomatosis with Extension into Inferior Vena Cava and Right Atrium
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea. mgsong@amc.seoul.kr
- 2Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Korea.
- 3Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Korea.
Abstract
- Abdominal tumors that can grow through vascular lumen and spread to the right heart are rare. Intravenous leiomyomatosis is a rare tumor that originates from the uterus and spreads through the vessels. Although histologically benign, tumor extension with mechanical obstruction of the inferior vena cava, right cardiac cavities, or even the pulmonary artery, may occasionally result in fatal outcome. The best treatment is complete surgical resection of the entire tumor using cardiopulmonary bypass and total circulation arrest. We report a case of intravenous leiomyomatosis of the uterus that showed intravascular growth up to the right atrium. The patient underwent successful resection of the tumor by one-stage cardiotomy with laparotomy.
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