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Recurrent intracardiac leiomyomatosis

Maryam Esmaeilzadeh1, Ahmad Tavakolli, Akbar Safaei

  • 1Department of Echocardiography, Iran University of Medical Sciences, Shaheed Rajaie Cardiovascular Medical Center, Tehran, Iran. m_eszadeh@yahoo.com

The Canadian Journal of Cardiology
|November 7, 2007
PubMed

Insights

Intravenous leiomyoma, a benign smooth muscle tumor, can spread to the heart. Echocardiography revealed masses in the right heart chambers, suggesting intracardiac leiomyomatosis in a post-hysterectomy patient.

Area of Science:

  • Cardiovascular Medicine
  • Oncology
  • Pathology

Background:

  • Intravenous leiomyoma is a rare, benign smooth muscle tumor originating from uterine myomas or vessels.
  • It can extend into veins, posing diagnostic challenges.

Observation:

  • This report details the echocardiographic findings of an intravenous leiomyoma extending into the right-sided cardiac chambers.
  • The patient was a middle-aged woman who had previously undergone a hysterectomy.

Findings:

  • Echocardiography demonstrated an elongated, mobile mass originating from the inferior vena cava.
  • Multiple masses were identified within the right atrium and right ventricle.

Implications:

  • Intracardiac leiomyomatosis should be considered in the differential diagnosis of cardiac masses in the right heart chambers, particularly in women.
  • Echocardiography is crucial for identifying and characterizing these masses.

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