Key result
Surgical resection successfully clears rare IVC-to-RA cardiac leiomyosarcoma without metastatic spread.
Case Report (n=1)
This case report highlights the successful surgical management of a rare primary cardiac leiomyosarcoma extending from the right atrium to the inferior vena cava.
Successful resection of large IVC-RA mass feasible in complex young patient; leaves open etiology, recurrence risk, and generalizability.
A 27-year-old female with a history of acute lymphoblastic leukemia in remission presented with chest pain, liver cirrhosis, and a thrombus in the hepatic vein on ultrasound. Further workup with computed tomography (CT) and magnetic resonance imaging (MRI) revealed a mass extending from the inferior vena cava to the right atrium, 3.4 x 3.4 x 7.0 cm in size. She underwent excision of the intracardiac mass with a full sternotomy and cardiopulmonary bypass successfully. Her postoperative course was uncomplicated. She was discharged home on postoperative day six. Subsequent histopathology confirmed high-grade leiomyosarcoma. Postoperative positron emission tomography CT showed no evidence of metastatic disease.
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Chong et al. (2024) conducted a case report in Primary Cardiac Leiomyosarcoma (n=1). Surgical excision was evaluated on Tumor resection and postoperative recovery. Surgical excision successfully removed a primary cardiac leiomyosarcoma extending from the inferior vena cava to the right atrium in a 27-year-old female, with no evidence of metastatic disease.
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