Two Case Reports of Intravenous-Cardiac Leiomyomatosis

Intravenous-cardiac leiomyomatosis is an uncommon tumor arising from invasive uterine leiomyomata, with nodular masses extending into the inferior vena cava, right heart chamber, and even pulmonary arteries or lung. This report describes two cases of intravenous leiomyomatosis invading the right hea...

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Bibliographic Details
Published inIndian journal of surgery Vol. 85; no. Suppl 2; pp. 389 - 392
Main Authors Zhuang, Yu, Yang, Di-cheng, Xi, Xiao-wei, Ye, Yi-zhou
Format Journal Article
LanguageEnglish
Published New Delhi Springer India 01.10.2023
Springer
Springer Nature B.V
Subjects
Cardiac Surgery
Case Report
Case reports
Heart surgery
Medicine
Medicine & Public Health
Neurosurgery
Pediatric Surgery
Plastic Surgery
Surgery
Surgical techniques
Thoracic Surgery
Bilateral salpingo-oophorectomy
Leiomyomatosis
Uterine leiomyoma
Intracardiac tumor
Surgical strategy
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Summary:Intravenous-cardiac leiomyomatosis is an uncommon tumor arising from invasive uterine leiomyomata, with nodular masses extending into the inferior vena cava, right heart chamber, and even pulmonary arteries or lung. This report describes two cases of intravenous leiomyomatosis invading the right heart. A total hysterectomy with bilateral salpingo-oophorectomy and intravenous leiomyomata was performed. However, the intracardiac tumor was pulled apart, and the residual tumor remained unchanged at the 4-year follow-up in one patient. Its early diagnosis might be difficult because cardiac symptoms only develop once the tumor extends into the right heart or pulmonary arteries, resulting in cardiac insufficiency. The treatment depends on radical resection of pelvic and intravenous leiomyomatosis and bilateral salpingo-oophorectomy.
ISSN:0972-2068
0973-9793
DOI:10.1007/s12262-023-03729-9