Cardiovasc Imaging Asia.  2019 Apr;3(2):52-55. 10.22468/cvia.2018.00269.

Intravenous Leiomyomatosis Extending from the Uterus to the Heart

  • 1Department of Radiology, Hospital Serdang, Selangor, Malaysia.
  • 2Department of Obstetrics and Gynecology, Hospital Serdang, Selangor, Malaysia.
  • 3Department of Cardiology, Hospital Serdang, Selangor, Malaysia.
  • 4Department of Cardiac Anesthesiology, Hospital Serdang, Selangor, Malaysia.
  • 5Department of Cardiothoracic Surgery, Hospital Serdang, Selangor, Malaysia.


We report a case of intravenous leiomyomatosis with right atrium extension through the left gonadal vein, left renal vein and inferior vena cava. The tumor moved in and out of the right ventricle via the tricuspid valve, which could lead to valve obstruction and sudden death. We illustrate the importance of multimodality cardiac imaging to diagnose this condition by performing echocardiography, cardiac magnetic resonance imaging and computed tomography.


Inferior vena cava; Tricuspid valve; Cardiac tumor; Uterine fibroid; CT angiography
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