Intravascular Leiomyomatosis Extending to Right Atrium: A Rare Caused Syncope

Xu, Yingjiang; Gao, Xuechao; Yang, Chao; Liu, Jianyong; Jin, Bi; Shang, Dan

doi:10.1016/j.avsg.2019.11.024

Cited by 4 publications

(21 citation statements)

References 6 publications

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“…Since its rst description of IVL in 1896, fewer than 300 cases have been reported in the English literature. (1, 2) It primarily affects women of reproductive age (30%), and it has extrauterine involvement in about 30% of cases (1,3). As it was found in our patient.This disease can grow over many years from the uterus into the pelvic vein, renal vein, vena cava, and nally into the right atrium.…”

supporting

confidence: 68%

“…(6, 7) Also, the abdominal component should be performed before the thoracic due to the probability of encountering adherences to the vascular wall at the tumor site (by contrast, adherences along the upper path are often loose). (1,9) As it was done in our patient.…”

Section: Discussionmentioning

confidence: 68%

“…(3,5), Which can be misdiagnosed as a primary cardiac tumor or a venous thrombus-in-transit. (1,8) During CT, we discovered a mass within the patient's veins that completely changed our approach and our initial diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…(10,11) To prevent this complication, postoperative hormonal therapy with antiestrogens, aromatase inhibitors, hysterectomy, or bilateral salpingo-oophorectomy is recommended. (1,11) IVL is a rare, aggressive condition that, due to its indolent course, can range from being entirely asymptomatic to experiencing symptoms of right heart failure. Therefore, early detection and close surveillance are vital to ensure a good recovery.…”

Section: Discussionmentioning

confidence: 99%

“…Intravascular leiomyomatosis (IVL) is an extremely rare mesodermal cell tumor (1). Since its rst description of IVL in 1896, fewer than 300 cases have been reported in the English literature.…”

mentioning

confidence: 99%

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Intravascular leiomyomatosis with cardiac extension a “vessel within a vessel”

Garcés

Camacho

Dávalos

et al. 2022

Preprint

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Background Intravascular leiomyomatosis (IVL) is a histologically benign smooth muscle tumor arising from the uterus that can spread through the pelvic veins and can extend as far as the heart via the inferior vena cava. IVL is an extremely rare phenomenon, especially when the heart is involved. However, despite its benign characteristics, it can behave like a malignant tumor leading to significant morbidity and even mortality if left untreated. Case presentation The patient is a 42-year-old woman with a past medical history of uterine leiomyomas. Recently she developed heavy bleeding and frequent spotting; therefore consulted with her gynecologist. After further evaluation, a mass within the uterus that expanded into the pelvic veins, inferior vena cava, and right atrium was discovered. After the complete removal of the mass, the patient underwent full recovery. IVL with cardiac extension was the final diagnosis. Conclusion Although IVL is rare, it must be considered in women who underwent previous hysterectomies or myomectomies and presented with pelvic masses or symptoms of right heart failure. The ideal treatment will require the joint efforts of a complete multidisciplinary team, the patient's symptoms, previous operative history, the tumor's extension, and resectability.

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supporting

confidence: 68%

Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Intravascular leiomyomatosis with cardiac extension a “vessel within a vessel”

Garcés

Camacho

Dávalos

et al. 2022

Preprint

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Surgical management of intravascular leiomyomatosis

Painchaud-Bouchard

Samouëlian

Vandenbroucke‐Menu

et al. 2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Intravascular leiomyomatosis with cardiac extension, a case report

Garcés Garcés,

Terán Camacho,

Dávalos Dávalos

et al. 2023

J Cardiothorac Surg

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Background Intravascular leiomyomatosis (IVL) is a histologically benign smooth muscle tumor arising from the uterus that can spread through the pelvic veins and, on rare occasions, extend as far as the heart via the inferior vena cava. Despite its benign characteristics, it can behave like a malignant tumor leading to significant morbidity and even mortality if left untreated. Case presentation The patient is a 42-year-old woman with a past medical history of uterine leiomyomas. She presented with heavy bleeding and frequent spotting; therefore, she went to her gynecologist. After further evaluation, a mass within the uterus that expanded into the pelvic veins, inferior vena cava, and right atrium was discovered. After the complete removal of the mass, the patient underwent full recovery. IVL with cardiac extension was the final diagnosis. Conclusion Although IVL is rare, it must be considered in women who underwent previous hysterectomies or myomectomies and present with symptoms of right heart failure. The ideal therapy will need the aid of a multidisciplinary team and will depend on the patient’s symptoms, previous operative history, the tumor’s extension, and resectability.

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Intravascular Leiomyomatosis Extending to Right Atrium: A Rare Caused Syncope

Cited by 4 publications

References 6 publications

Intravascular leiomyomatosis with cardiac extension a “vessel within a vessel”

Intravascular leiomyomatosis with cardiac extension a “vessel within a vessel”

Surgical management of intravascular leiomyomatosis

Intravascular leiomyomatosis with cardiac extension, a case report

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