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Updated: May 16, 2026
Robotic Enucleation of Esophageal Leiomyoma
Published on: February 20, 2026
One-stage complete removal of intracardiac leiomyomatosis without cardiac arrest
Bin Li1, Ren-Yuan Li, Xin Chen
1Department of Thoracic and Cardiovascular Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Insights
A rare intracardiac leiomyoma, stemming from uterine leiomyomatosis, was successfully removed in a single surgery. This case highlights the on-pump beating-heart technique for such complex cardiac tumor removal.
Area of Science:
- Cardiovascular Surgery
- Gynecologic Oncology
- Pathology
Background:
- Uterine leiomyomatosis can rarely metastasize to the heart, presenting as an intracardiac leiomyoma.
- Surgical resection is the primary treatment for symptomatic intracardiac tumors.
Observation:
- A patient presented with an intracardiac leiomyoma originating from uterine leiomyomatosis.
- The tumor was completely removed in a one-stage surgical procedure.
Findings:
- The surgery utilized cardiopulmonary bypass with an on-pump beating-heart technique, avoiding circulatory arrest.
- This approach for intracardiac mass removal is seldom reported in detail.
Implications:
- The on-pump beating-heart technique offers a potentially safer alternative for complex cardiac tumor resections.
- This case demonstrates successful management of a rare intracardiac tumor with favorable long-term outcomes.
Abstract:
We present here a woman with an intracardiac leiomyoma originating from uterine leiomyomatosis. The tumor was completely removed in a one-stage procedure using cardiopulmonary bypass without cardiac arrest. Most one-stage operations were performed with total circulation arrest; however, using of on-pump beating-heart technique when removing the intracardiac mass has seldom been reported in detail. The patient was asymptomatic with no evidence of recurrence on 13-month follow-up.
