Successful One-Stage Transabdominal Excision of Intravenous Leiomyomatosis with Extension into the Right Atrium.
- Author:
Tae Jin PARK
1
;
Seung Kee MIN
;
Dae Do PARK
;
Sang Hyun AHN
;
Suh Min KIM
;
Sang Il MIN
;
Jong Won HA
;
Sang Joon KIM
Author Information
1. Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. skminmd@yahoo.com
- Publication Type:Original Article
- Keywords:
Intravenous leiomyomatosis;
Heart atria;
Transabdominal approach
- MeSH:
Echocardiography, Transesophageal;
Female;
Heart Atria;
Humans;
Leiomyomatosis;
Middle Aged;
Thoracotomy;
Uterus;
Veins;
Vena Cava, Inferior
- From:Journal of the Korean Society for Vascular Surgery
2012;28(2):88-91
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intravenous leiomyomatosis is a rare benign tumor originating from the uterus that spreads through vessels. In rare cases, intracaval and intracardiac involvement has been described. We report a case of a 64-year-old woman who presented intravenous leiomyomatosis, which originated from the right uterine vein and extended through the inferior vena cava into the right atrium. The tumor was completely removed through a one-stage transabdominal approach with transesophageal echocardiography monitoring. Sparing thoracotomy is important in order to reduce postoperative morbidity and tumor removal by pulling down was technically possible without the risk of embolization.
