Successful Surgical Removal of Symptomatic Intravenous Leiomyomatosis With Intracardiac Extension Completely Tamponating the Entire Right Atrium and Ventricle

Abstract

As a rare benign tumor, intravenous leiomyomatosis (IVL) can spread into the heart and lead to severe cardiac symptoms. A 50-year-old woman presented with progredient dyspnoea after hysterectomy for intrauterine leiomyoma 2 years ago. Diagnostic imaging revealed a tumor in the right atrium continuing from the right ovary passing within the right ovarian vein and the dilated inferior vena cava. The patient underwent a one-stage combined surgical operation with extracorporeal circulation in cooperation with gynecologists, cardiac surgeons and vascular surgeons. The tumor could be removed en bloc by access from the right atrium. The histological examination revealed IVL after hysterectomy.




J Clin Gynecol Obstet. 2015;4(1):179-183
doi: http://dx.doi.org/10.14740/jcgo266w