Key result
A single-stage sternotomy-laparotomy procedure on cardiopulmonary bypass with a beating heart and mild hypothermia ensured complete resection of a giant intravenous leiomyoma.
Why the study?
The study was conducted to demonstrate step by step how to achieve complete resection of an intravascular leiomyoma.
Case Report (n=1)
A multidisciplinary approach and single-stage sternotomy-laparotomy on cardiopulmonary bypass with a beating heart can ensure complete resection of an intracaval leiomyoma with intracardiac extension.
Supports feasibility of single-stage resection for intracaval leiomyoma with cardiac extension; hypothesis-generating and should not yet change practice.
The objective of this study was to explain step by step how to achieve a complete resection of an intravascular leiomyoma. A 48-year-old woman was referred to our institution with progressive dyspnea on exertion, lightheadedness, and previous history of total abdominal hysterectomy and bilateral salpingo-oophorectomy for a uterine leiomyoma echocardiography, computed tomography, and magnetic resonance imaging of the heart and abdomen/pelvis were performed and an intracaval mass with extension into the right heart and pulmonary artery was identified. After multidisciplinary review, a single-stage sternotomy-laparotomy procedure on cardiopulmonary bypass (with beating heart, mild hypothermia, and no deep hypothermic circulatory arrest) ensured complete resection of a giant intravenous leiomyoma (IVL). Multidisciplinary approach, multimodality imaging, and single-stage sternotomy-laparotomy procedure on cardiopulmonary bypass (with heart beating and mild hypothermia) ensure complete resection of IVL.
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Iacona et al. (2021) conducted a case report in Intracaval leiomyoma with intracardiac extension (n=1). Single-stage sternotomy-laparotomy procedure on cardiopulmonary bypass was evaluated on Complete resection of intravenous leiomyoma. A single-stage sternotomy-laparotomy procedure on cardiopulmonary bypass with a beating heart and mild hypothermia ensured complete resection of a giant intravenous leiomyoma.
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