Uterine leiomyoma extension into right atrium

Area of Science:

• Cardiovascular Surgery
• Gynecologic Oncology
• Pathology

Background:

• Intravenous leiomyomatosis is a rare condition characterized by benign smooth muscle tumors that invade blood vessels.
• Uterine leiomyomas are common, but their extension into the cardiovascular system is exceptionally rare and poses significant clinical challenges.

Observation:

• A case of intravenous leiomyomatosis originating from the uterus was observed to extend into the right atrium.
• The tumor's extensive vascular invasion presented a complex diagnostic and therapeutic scenario.

Findings:

• The patient underwent a successful two-stage surgical intervention to remove the leiomyomatosis.
• Histopathological examination confirmed the uterine origin and vascular invasion of the leiomyoma.

Implications:

• This case highlights the importance of considering rare diagnoses in complex cardiovascular presentations.
• Multidisciplinary surgical strategies are crucial for managing extensive intravenous leiomyomatosis.
• Further research into the pathogenesis and optimal management of this rare entity is warranted.