Intracardiac extension of intravenous leiomyomatosis in a patient with vascular pelvic tumor and prior hysterectomy: A case report

• Published in: Annals of cardiac anaesthesia Vol. 24; no. 4; pp. 483 - 486
• Main Authors: Nithiyanandhan, Palanisamy, Suneel, Puthuvasserry, Azeez, Aspari, Pillai, Vivek, Pitchai, Shivanesan
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer India Pvt. Ltd 01.10.2021; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Wolters Kluwer - Medknow; Wolters Kluwer Medknow Publications
• Subjects: Case Report; Case reports; Female; Fibroids; Heart Atria; Heart Neoplasms - diagnostic imaging; Heart Neoplasms - surgery; Humans; Hysterectomy; intracardiac; intravenous leiomyomatosis; Leiomyomatosis - diagnostic imaging; Leiomyomatosis - surgery; Pantoprazole; Pelvic Neoplasms - diagnostic imaging; Pelvic Neoplasms - surgery; premenopause; Pulmonary arteries; Surgery; Tumors; uterine leiomyoma; Uterine Neoplasms - surgery; Vascular Neoplasms - diagnostic imaging; Vascular Neoplasms - surgery; Vena Cava, Inferior - diagnostic imaging; Vena Cava, Inferior - surgery; Intracardiac; premenopause; uterine leiomyoma; intravenous leiomyomatosis
• ISSN: 0971-9784; 0974-5181
• DOI: 10.4103/aca.ACA_25_20

Uterine leiomyoma (UL) is the most common benign smooth muscle tumour of the premenopausal women. Rarely it shows malignant behaviour by metastasizing through the pelvic veins into systemic veins, inferior vena cava (IVC), there it is termed as intravenous leiomyomatosis (IVL). IVL may restrict itself within the IVC or it may extend into right heart chambers reaching up to pulmonary arteries. Here we report a case of single staged excision of intracardiac(IC) extension of IVL of a 45 -year -old premenopausal women, who have undergone abdominal hysterectomy five years ago, with the complaints of shortness of breath aggravated on bending forward for the past two years.