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Intravenous leiomyomatosis with right heart involvement-a report of 4 cases and literature review
Authors:Li Yiqing  Mei Fei  Yang Chao  Lv Ping  Ouyang Chenxi  Jin Bi
Institution:Department of Vascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan430022, China
Abstract:Intravenous leiomyomatosis (IVL) is a rare benign neoplasm which originates from the smooth muscle cells and is usually confined to the pelvic venous system.Rarely,intracaval and intracardiac extension has been described.Death can occur as a result of intracardiac involvement.We reported 4 cases of IVL with right heart inyolvement (intracardiac leiomyomatosis,ICL).Three of them suffered recurrent sudden syncope,and the other one was totally asymptomatic.All of them were successfully treated through one-stage operation under extracorporeal circulation.
Keywords:intravenous leiomyomatosis  intracardiac leiomyomatosis  cardiac tumor  surgical management
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