Successful One-stage Transabdominal Excision of Intravenous Leiomyomatosis with Extension into the Right Atrium

2012 ◽  
Vol 28 (2) ◽  
pp. 88-91
Author(s):  
Tae Jin Park ◽  
Seung Kee Min ◽  
Dae Do Park ◽  
Sang Hyun Ahn ◽  
Suh Min Kim ◽  
...  
Keyword(s):  
Right Atrium ◽  
Intravenous Leiomyomatosis ◽  
One Stage ◽  
The Right

scholarly journals A Case of One-stage Surgery for Intravenous Leiomyomatosis Extending from the Internal Iliac Vein to the Right Atrium

2017 ◽  
Vol 28 (1) ◽  
pp. 39-43
Author(s):  
Naoki Hashiyama ◽  
Makoto Mo ◽  
Makoto Okiyama ◽  
Kenichiro Aga ◽  
Kai Sugawara ◽  
...  
Keyword(s):  
Right Atrium ◽  
Iliac Vein ◽  
Intravenous Leiomyomatosis ◽  
Internal Iliac Vein ◽  
One Stage ◽  
Internal Iliac ◽  
The Right

scholarly journals Intravenous Leiomyomatosis of the Uterus: A Retrospective Single-Center Study in 14 Cases

2020 ◽  
Vol 2020 ◽  
pp. 1-14
Author(s):  
Qingbo Su ◽  
Xiquan Zhang ◽  
Hui Zhang ◽  
Yan Liu ◽  
Zhaoru Dong ◽  
...  
Keyword(s):  
Right Atrium ◽  
Superior Vena ◽  
Vena Cava ◽  
Right Atrial ◽  
Pelvic Cavity ◽  
Intravenous Leiomyomatosis ◽  
Abdominal Incision ◽  
Imaging Results ◽  
The Right

Purpose. This study aimed to retrospectively review the diagnosis and surgical treatment of uterine intravenous leiomyomatosis (IVL). Methods. The clinical data of 14 patients with uterine IVL admitted to our hospital between 2013 and 2018 were retrospectively analyzed, including their demographics, imaging results, surgical procedures, perioperative complications, and follow-up results. Results. The tumors were confined to the pelvic cavity in 7 patients, 1 into the inferior vena cava, 4 into the right atrium, and 2 into the pulmonary artery (including 1 into the superior vena cava). Only one case was misdiagnosed as right atrial myxoma before the operation, which was found during the surgery and was treated by staging surgery; all the other patients underwent one-stage surgical resection. Three patients underwent complete resection of the right atrial tumor through the abdominal incision, and one patient died of heart failure in the process of resection of heart tumor without abdominal surgery. During the 6–60 months of follow-up, 4 patients developed deep venous thrombosis of the lower extremity, and 1 patient developed ovarian vein thrombosis and pulmonary embolism. After anticoagulation treatment, the symptoms disappeared. One patient refused hysterectomy and the uterine fibroids recurred 4 years after the operation. Conclusion. Specific surgical plans for uterine IVL can be formulated according to cardiac ultrasound and computed tomography (CT). For the first type of tumor involving the right atrium, the right atrium tumor can be completely removed through the abdominal incision alone to avoid thoracotomy. The disease is at high risk of thrombosis and perioperative routine anticoagulation is required.

scholarly journals An unusual case of intravenous leiomyomatosis involving the right atrium

2019 ◽  
Vol 132 (4) ◽  
pp. 474-476
Author(s):  
Min Li ◽  
Chen Guo ◽  
Yong-Hui Lyu ◽  
Ming-Bo Zhang ◽  
Zhi-Lu Wang
Keyword(s):  
Right Atrium ◽  
Unusual Case ◽  
Intravenous Leiomyomatosis ◽  
The Right

Orthostatic hypotension and right heart failure as the initial manifestation of intravenous leiomyomatosis

2015 ◽  
Vol 26 (3) ◽  
pp. 586-588 ◽  
Author(s):  
Ya-Qin Li ◽  
Xiao-Ping Yin ◽  
Zhan-Wen Xu
Keyword(s):  
Right Atrium ◽  
Right Heart Failure ◽  
Intravenous Leiomyomatosis ◽  
Right Heart ◽  
Caval Vein ◽  
Initial Manifestation ◽  
Inferior Caval Vein ◽  
Mobile Mass ◽  
History Of ◽  
The Right

AbstractA 36-year-old woman, who had a history of myomectomy, presented with lightheadedness after changing position from sitting to standing and effort-related shortness of breath. Echocardiography demonstrated a hyperechoic elongated mobile mass extending from the inferior caval vein to the right atrium. The mass was surgically removed, and histological examination established the diagnosis of intravenous leiomyomatosis. This case caught the attention of our cardiology group to consider the diagnosis when an inferior caval vein or right atrium mass is found in a patient with a history of uterine leiomyomatosis.

Intravenous leiomyomatosis: the first reported case of intraoperative intracaval embolisation of tumour to the right atrium

2020 ◽  
Vol 13 (3) ◽  
pp. e233341
Author(s):  
Gillian A Corbett ◽  
Catherine O'Gorman ◽  
Waseem Kamran
Keyword(s):  
Right Atrium ◽  
Uterine Leiomyoma ◽  
Histopathological Examination ◽  
Vena Cava ◽  
Abdominal Distension ◽  
Preoperative Imaging ◽  
Intravenous Leiomyomatosis ◽  
Midline Laparotomy ◽  
First Case ◽  
The Right

Intravenous leiomyomatosis is extremely rare. This case describes a 42-year-old woman who presented with abdominal distension, cyclical bloating and urinary retention. Preoperative imaging showed a multilobulated uterine mass. Following multidisciplinary team discussion, a complete staging surgery consisting of midline laparotomy, total hysterectomy and bilateral salpingo-oophrectomy was performed. Intraoperatively, a large multilobulated uterine mass was noted with engorgement of the infundibulopelvic ligaments due to intravascular extension of tumour. On removal of the uterus, the patient desaturated and became hypotensive. Intraoperative transoesophageal echocardiography revealed mass extending from the inferior vena cava (IVC) into the right atrium (RA). The cardiothoracic surgical team retrieved a worm-like mass extending from the IVC into the RA. Histopathological examination diagnosed a large uterine leiomyoma with intravenous leiomyomatosis. The mass from the RA was a bland spindle cell tumour which matched the uterine mass histopathologically. Intravenous leiomyomatosis is a rare variant of uterine leiomyoma. Although intracardiac extension has been described, this is the first case of intraoperative embolisation of pelvic tumour to the RA at hysterectomy.

scholarly journals Intravenous Leiomyomatosis with Intracardiac Extension: Echocardiographic Study and Literature Review

2014 ◽  
Vol 41 (5) ◽  
pp. 502-506 ◽  
Author(s):  
Rongjuan Li ◽  
Yanguang Shen ◽  
Yan Sun ◽  
Chuanchen Zhang ◽  
Ya Yang ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Right Atrium ◽  
Uterine Leiomyoma ◽  
Inferior Vena ◽  
Vena Cava ◽  
Common Disease ◽  
Intravenous Leiomyomatosis ◽  
Endothelial Surface ◽  
The Right ◽  
The Masses

Uterine leiomyomatosis is a common disease in women; however, intravenous leiomyomatosis with intracaval and intracardiac tumor extension is rare. We sought to analyze the clinical and echocardiographic features of intracardiac leiomyomatosis. From January 2003 through July 2012, 7 women (age range, 24–59 yr) underwent surgical resection of histopathologically diagnosed intracardiac leiomyomas at our hospital. Most of the patients had histories of hysterectomy or uterine leiomyoma. We retrospectively analyzed their preoperative echocardiograms. We found that the tumors had no stalks, did not adhere to the wall of the right side of the heart, were highly mobile, and moved back and forth in the right atrium near the tricuspid orifice. All tumors originated from the inferior vena cava and had borders well demarcated from that structure's wall. Most of the masses extended into the inferior vena cava and right atrium through the right internal and common iliac veins. Computed tomograms revealed pelvic tumors and contiguous filling defects in 6 patients. When echocardiograms reveal a right-sided cardiac mass that originates from the inferior vena cava, particularly in women who have a history of hysterectomy or uterine leiomyoma, intracardiac leiomyomatosis should be suspected. If the mass has no stalk and freely moves within the inferior vena cava and right-sided cardiac chambers without attachment to the endothelial surface or endocardium, intracardiac leiomyomatosis should be diagnosed. We discuss our findings and briefly review the relevant medical literature.

scholarly journals A one-stage approach to the treatment of intravenous leiomyomatosis extending to the right heart

2010 ◽  
Vol 52 (1) ◽  
pp. 212-215 ◽  
Author(s):  
Pietro Rispoli ◽  
Davide Santovito ◽  
Caterina Tallia ◽  
Gianfranco Varetto ◽  
Massimo Conforti ◽  
...  
Keyword(s):  
Intravenous Leiomyomatosis ◽  
Right Heart ◽  
One Stage ◽  
The Right

Successful One-Stage Operative Resection of an Intravenous Leiomyomatosis Involving the Right-Sided Heart Chambers and Pulmonary Artery

2016 ◽  
Vol 19 (2) ◽  
pp. 064
Author(s):  
Rongjian Xu ◽  
Qi Miao ◽  
Xingrong Liu ◽  
Chaoji Zhang ◽  
Guotao Ma
Keyword(s):  
Cardiopulmonary Bypass ◽  
Pulmonary Artery ◽  
Unique Feature ◽  
Circulatory Arrest ◽  
Deep Hypothermic Circulatory Arrest ◽  
Intravenous Leiomyomatosis ◽  
Right Heart ◽  
One Stage ◽  
The Right

Intravenous leiomyomatosis (IVL) is a rare neoplastic disorder. It may extend into the right cardiac chambers, which are named after intracardiac leiomyomatosis (ICL). We describe a case of IVL extending into the right heart and pulmonary artery in a 46-year-old woman. The patient successfully underwent a one-stage operation under cardiopulmonary bypass (CPB) with deep hypothermic circulatory arrest. The patient fully recovered without major complications and did not exhibit any recurrence at the 9-month follow-up. The unique feature of this case is its involvement with the pulmonary artery, which is uncommon but potentially lethal.

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