Simplified Technique for Excision of Metastasizing Leiomyoma of Suprahepatic Inferior Vena Cava with Intracardiac Extension

Abstract

Uterine leiomyoma may metastasize via intravascular to the right heart cavities several years after hysterectomy. The symptoms are usually produced by compression of the tissues beside. We describe a simplified technique for excision of a benign metastasizing leiomyoma of suprahepatic segment of inferior vena cava with intracardiac extension.

Intracaval Resection of a Partially Obstructing Intravascular Hemangioma using Deep Hypothermic Circulatory Arrest

“…Sarraj et al described the use of femoral venous cannulation and balloon occlusion below the lesion to allow normothermic bypass during resection of a leiomyoma in this location. They noted that with balloon‐obstruction of the vena cava inferior to the mass and superior to the hepatic veins it is possible to continue cardiopulmonary bypass during resection and reconstruction.…”