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Pelvic leiomyoma in the right atrium
T Katsumata1, A Shinfeld, R Houel
1Department of Cardiac Surgery, Oxford Heart Centre, John Radcliffe Hospital, United Kingdom.
The Annals of Thoracic Surgery
|February 4, 1999
Summary
Intravenous leiomyomatosis, a uterine smooth muscle tumor, can extend to the heart. This case details successful surgical removal of a right atrial tumor using cardiopulmonary bypass.
Area of Science:
- Cardiovascular Surgery
- Gynecologic Oncology
- Pathology
Background:
- Intravenous leiomyomatosis (IVL) is a rare condition involving benign smooth muscle tumors growing within vascular channels, typically originating from the uterus.
- IVL can present with rare but serious complications, including intracardiac extension.
Observation:
- A 64-year-old woman presented with a diagnosed case of intravenous leiomyomatosis with extension into the right atrium.
- The intracardiac mass was identified as a smooth muscle tumor consistent with IVL.
Findings:
- The right atrial tumor was successfully and completely removed in a single surgical procedure.
- The surgical approach involved sternolaparotomy and utilized total circulatory arrest with cardiopulmonary bypass for safe resection.
Implications:
- This case highlights the feasibility of a single-stage surgical approach for managing intracardiac IVL.
- Successful surgical intervention can lead to favorable outcomes for patients with this rare presentation of intravenous leiomyomatosis.
- This management strategy underscores the importance of multidisciplinary collaboration in treating complex cardiovascular and gynecologic conditions.