Key result
Single-stage surgery successfully resects rare four-chamber and aortic atypical leiomyoma.
Why the study?
Intravenous leiomyomatosis with intracardiac involvement has only been reported in the right cardiac chambers, lacking reports of involvement of all four chambers and the aorta.
Case Report (n=1)
No
Intravenous leiomyomatosis is a rare gynecologic disease that can be complicated with intracardiac involvement. All reported cases with cardiac extension involved the right cardiac chambers. Intracardiac leiomyoma may present with dyspnea, chest pain, palpitations, lower extremity swelling, or syncope. This is a unique case of a 40-year-old asymptomatic woman with incidental finding of a cardiac murmur. Echocardiography showed an echodensity in all cardiac chambers. Urgent cardiac surgery revealed an intracardiac leiomyoma, extending from the inferior vena cava and involving all four cardiac chambers and the aortic root.
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Abdelghany et al. (2014) conducted a case report in Intracardiac Atypical Leiomyoma (n=1). Single-stage surgical resection with cardiopulmonary bypass and hypothermic circulatory arrest was evaluated. A rare intracardiac atypical leiomyoma involving all four cardiac chambers and the aorta was successfully resected in a 40-year-old woman using a single-stage surgical operation.
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