Successful One-Stage Complete Removal of an Entire Intravenous Leiomyomatosis in the Heart, Vena Cava, and Uterus |
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| Authors: | Yoshinari Arinami MD Shoji Kodama MD Hiroaki Kase MD Kenichi Tanaka MD Hirofumi Okazaki MD Yukio Maruyama MD |
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| Institution: | aDepartment of Obstetrics and Gynecology, Kobari Hospital, 11-27-3 Kobari, Niigata, 950-21;cDepartment of Cardiovascular Surgery, Kobari Hospital, 11-27-3 Kobari, Niigata, 950-21;bDepartment of Obstetrics and Gynecology, Niigata University School of Medicine, I Asahimachi-Dori, Niigata, 950, Japan |
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| Abstract: | The patient was a 61-year-old woman who had intravenous leiomyomatosis (IVL) extending into the right ventricle of the heart from the uterus. Tumors in the heart and the inferior vena cava were removed under cardiopulmonary bypass and then after terminating the cardiopulmonary bypass, tumors in the abdominal cavity including uterine leiomyoma were removed. This is the first case of extended IVL in which all tumors were successfully removed at one time. If a tumor is found in the right ventricle in a woman who had or currently has uterine leiomyoma, IVL should be suspected. Complete one-stage removal of tumors can be performed using cardiopulmonary bypass, and the present patient has shown a favorable outcome. |
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