Why the study?
Intravenous leiomyoma is a rare condition that can metastasize to the heart, highlighting the need to investigate right-sided cardiac masses in patients with risk factors.
Case Report (n=1)
No
Intracardiac leiomyomatosis is a rare condition requiring a high index of suspicion in females with right-sided cardiac masses and a history of fibroids, and is effectively managed with a multi-disciplinary staged surgical approach.
Intravenous leiomyoma is a rare condition that occurs when there is a vascular invasion of a pre-existing uterine leiomyoma. The tumor can metastasize to structures such as the heart and lungs. We discuss a case of metastasis to the heart resulting in severe tricuspid regurgitation. Surgical intervention is the primary modality; usually a staged approach involving cardiac surgery along with abdominal and/or pelvic surgery. We want to highlight the importance of fully investigating right-sided cardiac masses. While there are common etiologies for these masses, one must maintain a high degree of suspicion for an intravenous leiomyoma, especially if a female has certain risk factors such as a prior history of fibroids or a hysterectomy. We also stress the importance of a multi-disciplinary team approach when providing care to these patients, along with reviewing all modalities of imaging.
No takes yet. Share an insight, caveat, or question.
Abraham et al. (2023) conducted a case report in Intracardiac Leiomyomatosis (n=1). Staged surgical resection was evaluated on Successful mass excision and patient recovery.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: