Abstract
We report a 49-year-old woman with intravenous and intracardiac extension of uterine leiomyomatosis. After subtotal hysterectomy and salpingo-oophorectomy, an intravenous and intracardiac tumor was removed under normothermic cardiopulmonary bypass without cardiac arrest. Postoperatively, occlusion of the artery supplying the remaining uterine cervical stump was performed by the catheter coiling technique. More than 2 years after surgery, the patient is well without recurrence.
Similar content being viewed by others
References
Almassi GH. Surgery for tumors with cavoatrial extension. Seminars in Thoracic and Cardiovasc Surg 2000; 12: 111–8.
Shida T, Yoshimura M, Chihara H, Nakamura K. Intravenous leiomatosis of the pelvis with reextension into the heart. Ann Thorac Surg 1986; 42: 104–6.
Morice P, Chapelier A, Dartevelle P, Castaigne D, Lhome C. Late intracaval and intracardiac leiomyomatosis following hysterectomy for benign myomas treated by surgery and GnRH agonist. Gynecologic Oncology 2001; 83: 422–3.
Roman DA, Mirchandani H. Intravenous leiomyoma with intracardiac extension causing sudden death. Arch Pathol Lab Med 1987; 111: 1176–8.
Roques F, Sanchez B, Bucher B, Lariviere J. Role of pre-operative assessment in the surgical management of leiomyoma extended to the right heart chambers. A compendium of information from isolated reports. Eur J Cardio Thoracic Surg 2001; 19: 522–4.
Kullo IJ, Oh JK, Keeney GL, Khandheria BK, Seward JB. Intracardiac leiomyomatosis: Echocardiac features. Chest 1999; 115: 587–91.
Norris H, Parmley T. Mesenchymal tumors of uterus. Intravenous leiomyomatosis. Cancer 1978; 36: 2164.
Suginami H, Kaura R, Ochi H, Matuura S. Intravenous leiomyomatosis with cardiac extension: Successful surgical management and histopathlogic study. Obstetrics and Gynecology 1990; 76: 527–9.
Clement PB, Young RH, Scully RE. Intravenous leiomyomatosis of the uterus: A clinicopathological analysis of 16 cases with unusual histologic features. Am J Surg Pathology 1988; 12: 932–45.
Cooper MM, Guillem J, Dalton J, Marboe CC, Corwin S, Todd GJ, et al. Recurrent intravenous leiomyomatosis with cardiac extension. Ann Thorac Surg 1992; 53: 139–41.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Fujiwara, K., Haba, M., Noguchi, Y. et al. Successful one-stage surgical removal of intravenous uterine leiomyomatosis with right heart extension. Jpn J Thorac Caridovasc Surg 51, 462–465 (2003). https://doi.org/10.1007/BF02719605
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02719605