Intravenous leiomyomatosis extending into the right ventricle after subtotal hysterectomy

Topcuoglu M., Yaliniz H., Poyrazoglu H., Tokcan A., Demir S., Bozkurt A., ...More

ANNALS OF THORACIC SURGERY, vol.78, no.1, pp.330-332, 2004 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 78 Issue: 1
  • Publication Date: 2004
  • Doi Number: 10.1016/s0003-4975(03)01371-7
  • Page Numbers: pp.330-332


A case of intravenous leiomyomatosis with extention into the right ventricle is described. A tumor in the inferior vena cava was detected three years after a subtotal hysterectomy had been performed for a myomatous uterus but was misdiagnosed as a thrombus. The tumor enlarged and intruded into the right ventricle for which she underwent surgery. The correct diagnosis was made during the surgery, therefore a two-stage resection was planned. Surgical resection is the best treatment for intracardiac extention of intravenous leiomyoma. We recommend iliac venotomy to remove the ilio-caval portion of the tumor in both stages of operations. (C) 2004 by The Society of Thoracic Surgeons.