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Int J Angiol 2023; 32(02): 136-139
DOI: 10.1055/s-0041-1736442
Case Report

Intracaval Leiomyoma with Intracardiac Extension

Gabriele M. Iacona
1   Department of Thoracic and Cardiovascular Surgery, Heart, Vascular & Thoracic Institute, Cleveland Clinic, Cleveland, Ohio
,
Serge Harb
2   Section of Cardiac Imaging, Department of Cardiology, Heart, Vascular & Thoracic Institute, Cleveland Clinic, Cleveland, Ohio
,
Venkatesh Krishnamurthi
3   Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio
,
James J. Yun
1   Department of Thoracic and Cardiovascular Surgery, Heart, Vascular & Thoracic Institute, Cleveland Clinic, Cleveland, Ohio
› Author Affiliations Funding None.
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Abstract

The objective of this study was to explain step by step how to achieve a complete resection of an intravascular leiomyoma. A 48-year-old woman was referred to our institution with progressive dyspnea on exertion, lightheadedness, and previous history of total abdominal hysterectomy and bilateral salpingo-oophorectomy for a uterine leiomyoma echocardiography, computed tomography, and magnetic resonance imaging of the heart and abdomen/pelvis were performed and an intracaval mass with extension into the right heart and pulmonary artery was identified. After multidisciplinary review, a single-stage sternotomy–laparotomy procedure on cardiopulmonary bypass (with beating heart, mild hypothermia, and no deep hypothermic circulatory arrest) ensured complete resection of a giant intravenous leiomyoma (IVL). Multidisciplinary approach, multimodality imaging, and single-stage sternotomy–laparotomy procedure on cardiopulmonary bypass (with heart beating and mild hypothermia) ensure complete resection of IVL.

Keywords

leiomyoma - cardiopulmonary bypass - laparotomy - sternotomy - excision - IVC - thrombosis - resection


Publication History

Article published online:
05 December 2021

© 2022. International College of Angiology. This article is published by Thieme.

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