Giant Right Atrial Mass: Intracardiac Extension of Intravenous Leiomyoma 18 Years After Hysterectomy

Maylar, Nasser M.; Piotrowski, A; Erbel, Raimund; Schmitz, Klaus

doi:10.1016/j.athoracsur.2008.10.046

Cited by 2 publications

(5 citation statements)

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“…Recurrence has been notified unless a completed resection, including hysterectomy, is performed. However, even with complete hysterectomy, recurrence may also occur (Filsoufi et al, 2002;Maylar et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

“…In the most recent series and in our experience, the combined single-staged approach under sternal-laparotomy is preferred for the management of caval tumors originating from the uterus, the ovaries, because it allows complete removal of the mass from both the large veins and the abdomen or the pelvis (combined hysterectomy and oophorectomy) for hormonal (Katsumata et al, 1998;Rivera et al, 2004;Sapmaz et al, 2008;Luciani et al, 2009;Maylar et al, 2009;Galvin et al, 2010). Our strategy to this patient was the same as the literature mentioned earlier.…”

Section: Recurrence Of Intravenous Leiomyomatosismentioning

confidence: 93%

“…The IVL grows from vessel's smooth muscle, protruding into the vessel's lumen, and can expand to right atrium and even beyond causing death due to blood flow obstruction into right atrium and even to pulmonary artery (Filsoufi et al, 2002). While most cardiac tumors are myxomas and left sided, we report a case of RV inflow obstruction secondary to intracardiac IVL ( Rosenberg et al, 1988;Filsoufi et al, 2002;Maylar et al, 2009;Galvin et al, 2010). We present a 33-year-old Indonesian woman with cardiopulmonary symptoms predominantly, and marked by an intravascular leiomyoma extending from the IVC to the right chamber atrium.…”

Section: Introductionmentioning

confidence: 91%

“…This tumor in some cases, also known as benign metastasizing leiomyoma, is characterized by uterine leiomyomas associated with the development of the same histological tumor in other organs, such as lung, lymph nodes, central nervous systems, bones, mesentery, deep soft tissues, and heart (Maylar et al, 2009;Galvin et al, 2010). The IVL most frequently affects women between the ages of 40 and 60 years.…”

Section: Introductionmentioning

confidence: 99%

“…The IVL is also a quite expansive tumor. This tumor is a sex hormone-dependent tumor and tumor tissues themselves are a source of estrogen that can support their own growth, without considering ovarian-produced estrogen (Rosenberg et al, 1988;Maylar et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

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Recurrence of Intravenous Leiomyomatosis: A Rare Cause of the Obstruction of the Right Heart

Habibie

Hanafy

2018

Proceedings of MICoMS 2017

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Purpose-Intravenous leiomyomatosis (IVL) is a very rare subtype of leiomyoma, involving the right obstruction of the heart, and is an unusual cause of outflow tract obstruction. The IVL grows from the vessel's smooth muscle, protruding into the vessel's lumen, and can expand to the right atrium and even beyond causing death due to blood flow obstruction into the right atrium and even to pulmonary artery. Design/Methodology/Approach-We present a 33-year-old Indonesian woman with cardiopulmonary symptoms predominantly, and marked by an intravascular leiomyoma extending from inferior vena cava (IVC) to right chamber atrium, with the chief complaint being easily fatigued since seven months. Findings-Echocardiography observations found a mass in the right atrium and the IVC that caused dynamics obstructed in tricuspid valve, right atrium and ventricle were dilated, no left ventricular (LV) hypertrophy, normal LV and right ventricular (RV) functions, and no valve abnormality except the tricuspid valve gradient being 21 mmHg with mild regurgitation. Venography resulted in a mobile tumor mass in IVC mouth which partially flew into the right atrium, and partially blocked the IVC mouth. Tumor size was 6.4 cm Â 4.8 cm. Abdominal multislice computed tomography resulted in a residual soft tissue mass (leiomyoma) along the IVC extended to the right atrium. The tumor mass size in the IVC and the right atrium was bigger compared to tumor mass on July 2008. The correct diagnosis was established during surgery; therefore a two-stage resection was done. Originality/Value-Surgical resection is the best treatment for intracardiac extension of intravenous leiomyoma. To remove the ilio-caval portion, iliac venotomy was recommended for the tumor in both stages of the surgeries.

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Section: Discussionmentioning

confidence: 99%