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Successful Removal of Intravenous Leiomyomatosis with Extension into Inferior Vena Cava and Right Atrium  

Shin Hong Ju (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
Song Kwang Jae (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
Hahm Shee Young (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
Kim Young Tak (Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine)
Seo Joon Beom (Deparment of Radiology, Asan Medical Center, University of Ulsan College of Medicine)
Song Meong Gun (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
Publication Information
Journal of Chest Surgery / v.38, no.6, 2005 , pp. 441-444 More about this Journal
Abstract
Abdominal tumors that can grow through vascular lumen and spread to the right heart are rare. Intravenous leiomyomatosis is a rare tumor that originates from the uterus and spreads through the vessels. Although histologically benign, tumor extension with mechanical obstruction of the inferior vena cava, right cardiac cavities, or even the pulmonary artery, may occasionally result in fatal outcome. The best treatment is complete surgical resection of the entire tumor using cardiopulmonary bypass and total circulation arrest, We report a case of intravenous leiomyomatosis of the uterus that showed intravascular growth up to the right atrium. The patient underwent successful resection of the tumor by one-stage cardiotomy with laparotomy.
Keywords
Heart neoplasms; Leiomyomatosis; Venacava; Inferior;
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