Report of a Case Surgically Treated for Intravenous Leiomyomatosis with Extension into the Right Atrium.
10.4326/jjcvs.21.278
- VernacularTitle:内腸骨静脈，下大静脈を経て右房内に達し三尖弁かん入を生じたｉｎｔｒａｖｅｎｏｕｓ ｌｅｉｏｍｙｏｍａｔｏｓｉｓの１摘除例
- Author:
Yoshio NAKAYAMA
;
Soichiro KITAMURA
;
Kanji KAWACHI
;
Tetsuji KAWATA
;
Kazumi MIZUGUCHI
;
Junichi HASEGAWA
- Publication Type:Journal Article
- Keywords:
intravenous leiomyomatosis
- From:Japanese Journal of Cardiovascular Surgery
1992;21(3):278-282
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case with successful surgical resection for a leiomyoma with an extension into the right atrium from the pelvic vein. The patient was a 54-year-old woman who presented with syncope in 1989. She had had a history of resection of a uterine leiomyoma 10 years previously. Preoperative angiograms showed a long tumor with an extension into the right atrium through the inferior vena cava originating from the right internal iliac vein. The diagnosis of intravenous leiomyomatosis was made. The operation was performed through a median sterno-laparotomy using cardiopulmonary bypass with successful results. Histologic sections showed a benign leiomyoma. To our knowledge, 20 cases of resection of intravenous leiomyomatosis with the use of extracorporeal circulation have been reported in the literature. This rare condition was discussed with the review of the literature.
