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Intracardiac extension of intravenous leiomyomatosis in a patient with vascular pelvic tumor and prior hysterectomy: A case report


1 Department of Cardiothoracic and Vascular Anesthesia, Sree Chitra Thirunal Institute for Medical Sciences and Technology (SCTIMST), Trivandrum, Kerala, India
2 Cardiovascular and Thoracic Surgery, Sree Chitra Thirunal Institute for Medical Sciences and Technology (SCTIMST), Trivandrum, Kerala, India

Correspondence Address:
Puthuvasserry R Suneel
Professor, Department of Cardiothoracic and Vascular Anaesthesia, SCTIMST, Trivandrum - 695 011, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_25_20

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Year : 2021  |  Volume : 24  |  Issue : 4  |  Page : 483-486

 

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Uterine leiomyoma (UL) is the most common benign smooth muscle tumour of the premenopausal women. Rarely it shows malignant behaviour by metastasizing through the pelvic veins into systemic veins, inferior vena cava (IVC), there it is termed as intravenous leiomyomatosis (IVL). IVL may restrict itself within the IVC or it may extend into right heart chambers reaching up to pulmonary arteries. Here we report a case of single staged excision of intracardiac(IC) extension of IVL of a 45 -year -old premenopausal women, who have undergone abdominal hysterectomy five years ago, with the complaints of shortness of breath aggravated on bending forward for the past two years.






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1 Department of Cardiothoracic and Vascular Anesthesia, Sree Chitra Thirunal Institute for Medical Sciences and Technology (SCTIMST), Trivandrum, Kerala, India
2 Cardiovascular and Thoracic Surgery, Sree Chitra Thirunal Institute for Medical Sciences and Technology (SCTIMST), Trivandrum, Kerala, India

Correspondence Address:
Puthuvasserry R Suneel
Professor, Department of Cardiothoracic and Vascular Anaesthesia, SCTIMST, Trivandrum - 695 011, Kerala
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_25_20

Rights and Permissions

Uterine leiomyoma (UL) is the most common benign smooth muscle tumour of the premenopausal women. Rarely it shows malignant behaviour by metastasizing through the pelvic veins into systemic veins, inferior vena cava (IVC), there it is termed as intravenous leiomyomatosis (IVL). IVL may restrict itself within the IVC or it may extend into right heart chambers reaching up to pulmonary arteries. Here we report a case of single staged excision of intracardiac(IC) extension of IVL of a 45 -year -old premenopausal women, who have undergone abdominal hysterectomy five years ago, with the complaints of shortness of breath aggravated on bending forward for the past two years.






[FULL TEXT] [PDF]*


        
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