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Intracardiac leiomyomatosis: iliac vein to right-ventricular outflow tract
Edward S Bennett1, Navin S Arora, Martin Kay
1Internal Medicine, Kyrenia Cardiac Center, Flushing, NY 11355, USA.
Insights
A rare case of intracardiac leiomyomatosis was diagnosed in a patient with hypertension and asthma. Surgical excision was successfully performed, offering a potential management strategy for this uncommon condition.
Area of Science:
- Cardiology
- Oncology
- Pathology
Background:
- A 58-year-old female with a history of hypertension and asthma underwent a routine physical examination.
- A grade II/VI systolic ejection murmur and electrocardiogram abnormalities were identified, prompting further cardiac assessment.
Observation:
- Diagnostic investigations included transthoracic echocardiography, transesophageal echocardiography, contrast-enhanced CT and MRI, and exploratory laparotomy.
- These evaluations led to the diagnosis of intracardiac leiomyomatosis.
Findings:
- The primary finding was intracardiac leiomyomatosis, a rare condition involving smooth muscle tumors within the heart.
- Surgical excision was the chosen management strategy.
Implications:
- This case highlights the importance of considering rare cardiac tumors in the differential diagnosis of cardiac murmurs and abnormalities.
- Successful surgical management of intracardiac leiomyomatosis offers a potential therapeutic approach for affected individuals.
Background:
A 58-year-old female with a history of hypertension and asthma presented to an internist for a routine physical examination. A grade II/VI systolic ejection murmur and electrocardiogram abnormalities were noted. She was referred to a cardiologist for further assessment.
Investigations:
Transthoracic echocardiography, transesophageal echocardiography, contrast-enhanced CT and MRI, exploratory laparotomy.
Diagnosis:
Intracardiac leiomyomatosis.
Management:
Surgical excision.
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