European Radiology

, Volume 15, Issue 6, pp 1173–1177 | Cite as

Retroperitoneal arteriovenous malformation extending through the inferior vena cava into the heart and causing inferior vena cava dissection

  • Yon Mi Sung
  • Yeon Hyeon Choe
  • Seung Woo Park
  • Pyo Won Park
  • Chang Ohk Sung


We present a case of retroperitoneal arteriovenous malformation extending through the inferior vena cava into the heart, which was associated with dissection of the inferior vena cava in a 32-year-old female. Computed tomography and magnetic resonance imaging showed a double-lumen inferior vena cava and a rod-like solid component attached to a sac-like lesion in the right heart chambers. Digital subtraction angiography showed an arteriovenous malformation draining to the inner lumen of the inferior vena cava.


Magnetic resonance Computed tomography Retroperitoneal space, diseases Vena cavae, abnormalities Heart, abnormalities 


  1. 1.
    Singh SP, Canon CL, Treat RC, Crowe DR, O’Dell RH, Koehler RE (1997) Traumatic dissection of the inferior vena cava. Am J Roentgenol 168:253–254Google Scholar
  2. 2.
    Hewett JJ, Freed KS, Sheafor DH, Vaslef SN (1999) Contained hematoma (pseudoaneurysm) of the inferior vena cava associated with blunt abdominal trauma. Am J Roentgenol 172:1144Google Scholar
  3. 3.
    Golder W, Heiniche A, Ohnesorge I (1998) Dissection of the inferior vena cava by a Fogarty balloon maneuver. A rare complication in venous surgery. Radiologe 38:434–437CrossRefPubMedGoogle Scholar
  4. 4.
    Harris LM, Karakousis CP (2000) Intravenous leiomyomatosis with cardiac extension: tumor thrombectomy through an abdominal approach. J Vasc Surg 31:1046–1051CrossRefPubMedGoogle Scholar
  5. 5.
    Shida T, Yoshimura M, Chihara H, Nakamura K (1986) Intravenous leiomyomatosis of the pelvis with reextension into the heart. Ann Thorac Surg 42:104–106PubMedGoogle Scholar
  6. 6.
    Kocaoglu M, Bulakbasi N, Ugurel MS, Ors F, Tayfun C, Ucoz T (2003) Value of magnetic resonance imaging in the depiction of intravenous leiomyomatosis extending to the heart. J Comput Assist Tomogr 27:630–633CrossRefPubMedGoogle Scholar
  7. 7.
    Ahmed M, Zangos S, Bechstein WO, Vogl TJ (2004) Intravenous leiomyomatosis. Eur Radiol 14:1316–1317CrossRefGoogle Scholar
  8. 8.
    Koh DM, Burn PR, King DM (2000) Benign metastasizing leiomyoma with intracaval leiomyomatosis. Br J Radiol 73:435–437PubMedGoogle Scholar
  9. 9.
    Tanaka YO, Jikuya T, Iijima T, Sakakibara Y, Itai Y (2002) Intravenous leiomyomatosis diagnosed by plain radiographs. Clin Radiol 57:1037–1040CrossRefPubMedGoogle Scholar
  10. 10.
    Cea-Calvo L, Lozano F, Pombo M et al (2000) Images in cardiovascular medicine. Uterine intravenous leiomyomatosis extending through the inferior vena cava into the right cardiac cavities. Circulation 101:581–583PubMedGoogle Scholar
  11. 11.
    Kaszar-Seibert DJ, Gauvin GP, Rogoff PA et al (1988) Intracardiac extension of intravenous leiomyomatosis. Radiology 168:409–410PubMedGoogle Scholar
  12. 12.
    Rotter AJ, Lundell CJ (1991) MR of intravenous leiomyomatosis of the uterus extending into the inferior vena cava. J Comput Assist Tomogr 15:690–693PubMedGoogle Scholar
  13. 13.
    Hayasaka K, Tanaka Y, Fujii M, Himi K, Negishi N (2000) Intravenous leiomyomatosis. J Comput Assist Tomogr 24:83–85CrossRefPubMedGoogle Scholar
  14. 14.
    Kawakami S, Sagoh T, Kumada H et al (1991) Intravenous leiomyomatosis of uterus: MR appearance. J Comput Assist Tomogr 15:686–689PubMedGoogle Scholar
  15. 15.
    Araoz PA, Mulvagh SL, Tazelaar HD, Julsrud PR, Breen JF (2000) CT and MR imaging of benign primary cardiac neoplasms with echocardiographic correlation. Radiographics 20:1303–1319PubMedGoogle Scholar
  16. 16.
    Utley JR, Mobin-Uddin K, Segnitz RH, Belin RP, Utley JF (1973) Acute obstruction of tricuspid valve by Wilms’ tumor. J Thorac Cardiovasc Surg 66:626–628PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • Yon Mi Sung
    • 1
  • Yeon Hyeon Choe
    • 1
    • 2
  • Seung Woo Park
    • 2
    • 3
  • Pyo Won Park
    • 2
    • 4
  • Chang Ohk Sung
    • 5
  1. 1.Department of Radiology and Center for Imaging ScienceSungkyunkwan University School of MedicineSeoulSouth Korea
  2. 2.Cardiac and Vascular Center, Samsung Medical CenterSungkyunkwan University School of MedicineSeoulSouth Korea
  3. 3.Department of Internal Medicine, Division of CardiologySungkyunkwan University School of MedicineSeoulSouth Korea
  4. 4.Department of Thoracic and Cardiovascular SurgerySungkyunkwan University School of MedicineSeoulSouth Korea
  5. 5.Department of PathologySungkyunkwan University School of MedicineSeoulSouth Korea

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