Thorac Cardiovasc Surg 2007; 55(5): 322-323
DOI: 10.1055/s-2007-964953
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Surgical Management of Intravenous Leiomyoma with Cardiac Extension. Do We Need Total Circulatory Arrest?

S. Senay1 , U. Kaya2 , H. Cagil3 , F. Demirkiran2 , C. Alhan1
  • 1Department of Cardiovascular Surgery, Acibadem Kadikoy Hospital, Istanbul, Turkey
  • 2Department of Obstetrics and Gynecology, Acibadem Kadikoy Hospital, Istanbul, Turkey
  • 3Department of Radiology, Acibadem Kadikoy Hospital, Istanbul, Turkey
Further Information

Publication History

Received November 17, 2006

Publication Date:
16 July 2007 (online)

Introduction

Intravenous leiomyoma is a histologically benign, smooth-muscle tumor arising either from a uterine myoma or from the walls of the uterine vein and may extend through the inferior vena cava, into the right atrium and even the chambers of the heart cavities. It may present with right-sided congestive symptoms [[1], [2]]. There is no strong correlation between the extent of cardiac involvement and clinical manifestations [[1], [2]] and the tumor may be misdiagnosed. We describe a single-stage surgical procedure for an asymptomatic case of intravenous leiomyoma extending to the right atrium, diagnosed in a routine control after myomectomy.

References

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Dr. Sahin Senay

Department of Cardiovascular Surgery
Acibadem Kadikoy Hospital

Ozlem Sitesi B-Blok D: 25

Kosuyolu-Uskudar

Istanbul 34100

Turkey

Fax: + 90 21 65 45 42 00

Email: sahinsenay@gmail.com

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