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Case Reports
. 2005;32(2):232-4.

Intracardiac extension of intravenous leiomyoma

Veysel Kutay  1 , Mustafa Tuncer, Mustafa Harman, Hasan Ekim, Cevat Yakut
Affiliations
Case Reports

Intracardiac extension of intravenous leiomyoma

Veysel Kutay et al. Tex Heart Inst J. 2005.

Abstract

Intravenous leiomyoma with intracaval and intracardiac extension is a rare benign neoplasm affecting women. We report a case in which an intravenous leiomyoma originated from the right iliac vein and extended through the inferior vena cava into the right atrium. The correct diagnosis was made intraoperatively, after resection of the intracardiac extension of the tumor, which was 28 cm in length. At the 2nd stage of the operation, a right common iliac venotomy enabled the removal of all residual tumor from the inferior vena cava.

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Figures

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Fig. 1 Preoperative transthoracic echocardiography reveals a large multilobulated mass occupying the right atrium. AO = aorta; LA = left atrium; RA = right atrium; VCI = vena cava inferior
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Fig. 2 A) A serpentine, reddish-beige, smooth mass filling the right atrium and ventricle is seen after right atriotomy. B) A firm rubbery tumor, 28 cm in length with varying widths, was excised from the entrance of the inferior vena cava in the stage-1 operation.
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Fig. 3 An abdominal computed tomographic scan with contrast agent demonstrates an intraluminal filling defect (arrows) of the inferior vena cava that extends to the heart: A) saggital and B) axial views.
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References

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