Surgical Management of Intravenous Leiomyoma with Cardiac Extension. Do We Need Total Circulatory Arrest?

Introduction

Intravenous leiomyoma is a histologically benign, smooth-muscle tumor arising either from a uterine myoma or from the walls of the uterine vein and may extend through the inferior vena cava, into the right atrium and even the chambers of the heart cavities. It may present with right-sided congestive symptoms [[1], [2]]. There is no strong correlation between the extent of cardiac involvement and clinical manifestations [[1], [2]] and the tumor may be misdiagnosed. We describe a single-stage surgical procedure for an asymptomatic case of intravenous leiomyoma extending to the right atrium, diagnosed in a routine control after myomectomy.

References

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