Thorac Cardiovasc Surg 2000; 48(3): 161-163
DOI: 10.1055/s-2000-9634
Case Report
© Georg Thieme Verlag Stuttgart · New York

Two Discrete Masses of Leiomyomatosis in a Patient, One Extending to the Right Atrium

A. Taşdelen1 , A. S. Mercan1 , A. Sezgin1 , K. Karapinar2 , A. Yaveri1 , S. Aslamaci1
  • 1Baskent University, Department of Cardiovascular Surgery, Ankara
  • 2SSK Ankara Dis¿kapi Hospital, Ankara, Turkey
Further Information

Publication History

Publication Date:
31 December 2000 (online)

Leiomyomatosis extending to the right side of the heart through the inferior vena cava (IVC) is an extremely rare neoplasm. Although it is pathologically classified as a benign neoplastic formation, its growth and recurrence rate makes its extirpation mandatory. In this case report, we describe a 57-year-old woman who presented with leiomyotosis extending from the IVC to the right atrium (RA). This patient had presented with uterine leiomyoma three years previously. The patient died in the operating theatre from hemostatic problems after surgical complications arising from the unexpected presence of a second tumor.

References

  • 1 Knauer E, Beitrag E. Zur Anatomie der Uterusmyome.  Beitr Z Geburtsh Gynäk.. 1902;  1 695-735
  • 2 Durck H. Ein kontinuierlich durch die untere Hohlvene in das Herz vorwachsendes Leiomyom.  München Med Wochnschr.. 1907;  54 1154-1154
  • 3 Garcia F A, Villanueva R A, Narciso F V, Aventura A P. Intravenous leiomyomatosis of the uterus and pelvis presenting as a cardiac tumor.  Ann Thorac Surg.. 1986;  42 (suppl.) 41-3
  • 4 Cameron A E, Cotton J C, Cotton L T. Intracaval leiomyomatosis.  Br J Obstet Gynaecol.. 1983;  90 272-5
  • 5 Shida T, Yoshimura M, Chihara H, Nakamura K. Intravenous leiomyomatosis of the pelvis with re-extension into the heart.  Ann Thorac Surg.. 1986;  42 104-6
  • 6 Nakayama Y, Kitamura S, Kawachi K, Kawata T, Fukutomi M, Hasegawa J, Morita R. Intravenous leiomyomatosis extending into the right atrium.  Cardiovasc Surg.. 1994;  2 (5) 642-5
  • 7 Nili M, Liban E, Levy M J. Tricuspid stenosis due to intravenous leiomyomatosis-a call for caution: a case report and review of the literature.  Texas Heart Inst J.. 1982;  9 231-5

Dr. A. Şükrü Mercan

Başkent Üniversitesi Hastanesi Kalp-Damar Cerrahisi A.B.D.

12.sokak 7/7 Bahçelievler 06490

Ankara

Turkey

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