Key result
A one-stage combined surgical operation successfully removed an intravenous leiomyomatosis tumor en bloc from the right atrium in a 50-year-old woman.
Case Report (n=1)
Intravenous leiomyomatosis with intracardiac extension can be successfully managed with a one-stage multidisciplinary surgical approach.
Supports one-stage resection for cardiac IVL; leaves open generalizability and long-term outcomes.
As a rare benign tumor, intravenous leiomyomatosis (IVL) can spread into the heart and lead to severe cardiac symptoms. A 50-year-old woman presented with progredient dyspnoea after hysterectomy for intrauterine leiomyoma 2 years ago. Diagnostic imaging revealed a tumor in the right atrium continuing from the right ovary passing within the right ovarian vein and the dilated inferior vena cava. The patient underwent a one-stage combined surgical operation with extracorporeal circulation in cooperation with gynecologists, cardiac surgeons and vascular surgeons. The tumor could be removed en bloc by access from the right atrium. The histological examination revealed IVL after hysterectomy. J Clin Gynecol Obstet. 2015;4(1):179-183 doi: http://dx.doi.org/10.14740/jcgo266w
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Tenzer et al. (2015) conducted a case report in Intravenous leiomyomatosis (IVL) with intracardiac extension (n=1). One-stage combined surgical operation with extracorporeal circulation was evaluated on Tumor removal. A one-stage combined surgical operation successfully removed an intravenous leiomyomatosis tumor en bloc from the right atrium in a 50-year-old woman.
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