What is the clinical evidence from this study?

Study design: Case Report. Population: Intravenous Leiomyomatosis with Intracardiac Extension (n=1). Intervention: Two-stage surgical resection. Primary outcome: Patient recovery and tumor removal.

What question did this study set out to answer?

To present a rare case of intravenous leiomyomatosis with intracardiac extension and highlight effective surgical management.

January 1, 2009Internal MedicineOpen Access

Intravenous Leiomyomatosis with Intracardiac Extension

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Key result

A 39-year-old woman with intravenous leiomyomatosis extending into the right ventricle and causing severe right heart failure was successfully cured by a two-stage surgical resection.

Population

1 39-year-old multiparous Chinese woman with intravenous leiomyomatosis originating from the uterus and…

Design

Case_report

Follow-up

Discharged 10 days after first operation; second stage…

Authors

CWCho‐Kai WuHeart Failure & Transplant JLJing-Ling LuoMin Sheng General Hospital CYChung‐Yi YangI-Shou University

Discussion

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Implication

Alerts to rare intracardiac leiomyoma extension in right heart failure; leaves optimal management open beyond case reports.

Key Points

To present a rare case of intravenous leiomyomatosis with intracardiac extension and highlight effective surgical management.
Described case of a 39-year-old woman with dyspnea and right heart failure.
Preoperative studies diagnosed leiomyomatosis extending to inferior vena cava and right atrium.
Performed a two-stage surgical approach after patient resuscitation.
Patient resuscitated from respiratory failure and severe right heart failure.
Successful two-stage surgery, resulting in postoperative well-being.
Illustrates effective management of a rare, critical condition.

Study Design

Type

Case Report (n=1)

Structured PICO

Population

A 39-year-old woman with a history of uterine myomatosis presenting with dyspnea and severe right heart failure due to intravenous leiomyomatosis extending to the right atrium.

Intervention

Two-stage surgical approach: median sternotomy with cardiopulmonary bypass for extraction of intracardiac and intracaval tumor, followed by laparotomy for total hysterectomy and bilateral salpingo-oophorectomy.

Outcome

Successful surgical removal of the tumor and postoperative recovery.

Intravenous leiomyomatosis with intracardiac extension can present as severe right heart failure and can be successfully treated with a two-stage surgical approach even in critical conditions.

Cite This Study

Wu et al. (2009) conducted a case report in Intravenous Leiomyomatosis with Intracardiac Extension (n=1). Two-stage surgical resection was evaluated on Patient recovery and tumor removal. A 39-year-old woman with intravenous leiomyomatosis extending into the right ventricle and causing severe right heart failure was successfully cured by a two-stage surgical resection.

synapsesocial.com/papers/6a42124fa307ad3478fe00ee https://doi.org/10.2169/internalmedicine.48.1780

Topics

Heart failure Echocardiography HFrEF treatment

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Intravenous Leiomyomatosis with Intracardiac Extension

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Topics

Intravenous Leiomyomatosis with Intracardiac Extension

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

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