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Intravenous leiomyomatosis with intracardiac extension

Cho-Kai Wu1, Jing-Ling Luo, Chung-Yi Yang

  • 1Department of Internal Medicine, National Taiwan University College of Medicine and Hospital Yun-Lin Branch.

Internal Medicine (Tokyo, Japan)
|June 16, 2009
PubMed

Insights

Intravenous leiomyomatosis is a rare uterine condition extending to the heart. Successful surgical removal offers a curative treatment, even in critical cases of advanced disease.

Area of Science:

  • Gynecologic Oncology
  • Cardiovascular Surgery
  • Pathology

Background:

  • Uterine leiomyoma is common, but intravenous leiomyomatosis with intracardiac extension is rare.
  • Clinical presentation varies with intracardiac involvement severity.
  • Complete surgical resection is the primary treatment modality.

Observation:

  • A 39-year-old woman presented with dyspnea and right heart failure.
  • Preoperative studies diagnosed leiomyomatosis originating from the uterus, extending into the inferior vena cava and right atrium.
  • The patient required resuscitation due to respiratory and severe right heart failure.

Findings:

  • Successful two-stage surgical intervention was performed.
  • The patient experienced a positive postoperative recovery.

Implications:

  • This case highlights an unusual presentation of intravenous leiomyomatosis.
  • Curative surgical treatment is feasible even in critically ill patients with advanced disease.
  • Demonstrates the importance of multidisciplinary management for rare gynecologic and cardiovascular complications.

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