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Successful one-stage surgical removal of intravenous leiomyomatosis with cardiac extension in an elderly patient

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Abstract

Intravenous leiomyomatosis is a benign smooth muscle tumor that sometimes spreads to the right heart via the inferior vena cava. A complete surgical resection is necessary to ensure its successful treatment. Surgical removal has been performed safely in middle-aged patients. Here we report a case of successful surgical removal in an elderly woman (age 81 years). The woman was admitted with palpitation and diagnosed as having an intravenous leiomyomatosis with cardiac extension. She underwent a one-stage surgical removal with cardiopulmonary bypass and circulatory arrest. We therefore recommend a one-stage operation, if possible, even in elderly patients.

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Author notes

  1. Shuji Shimizu

    Present address: Department of Cardiovascular Dynamics, National Cerebral and Cardiovascular Center Research Institute, 5-7-1 Fujishiro-dai, Suita, Osaka, 565-8565, Japan

Authors and Affiliations

  1. Department of Cardiovascular Surgery, National Hospital Organization Okayama Medical Center, 1711-1 Tamasu, Kita-ku, Okayama, 701-1192, Japan

    Masahiro Okada, Yuichiro Miyoshi, Gentaro Kato, Yoshiki Ochi & Shuji Shimizu

  2. Department of Cardiovascular Dynamics, National Cerebral and Cardiovascular Center Research Institute, 5-7-1 Fujishiro-dai, Suita, Osaka, 565-8565, Japan

    Mikizo Nakai

Authors
  1. Masahiro Okada
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  2. Yuichiro Miyoshi
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  3. Gentaro Kato
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  4. Yoshiki Ochi
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  5. Shuji Shimizu
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  6. Mikizo Nakai
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Correspondence to Shuji Shimizu.

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Okada, M., Miyoshi, Y., Kato, G. et al. Successful one-stage surgical removal of intravenous leiomyomatosis with cardiac extension in an elderly patient. Gen Thorac Cardiovasc Surg 60, 153–156 (2012). https://doi.org/10.1007/s11748-011-0791-3

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  • DOI: https://doi.org/10.1007/s11748-011-0791-3

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