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Case Reports
. 2021 Jul-Sep;24(3):408-410.
doi: 10.4103/aca.ACA_128_19.

A rare case of vena cava leiomyoma: A case report

Gabriel H Sánchez  1 , Mauricio Abello  2 , Enrique J Osorio  2 , Juan F Muriel  2
Affiliations
Case Reports

A rare case of vena cava leiomyoma: A case report

Gabriel H Sánchez et al. Ann Card Anaesth. 2021 Jul-Sep.

Abstract

Intravascular leiomyoma is an uncommon disease and depending of vascular involvement and anesthetic challenge. We review a case of a 53-year-old woman who underwent vena cava leiomyoma resection under cardiopulmonary bypass using deep hypothermic circulatory arrest (DHCA). Invasive hemodynamic and neurologic monitoring, transesophageal echocardiography, and viscoelastic coagulation test were used during the procedure. Total surgical resection was accomplished with no complications and the patient was extubated 2 days after surgery without cardiac or neurologic deficit. Although uncommon, level IV intravascular leiomyoma surgery is a challenge because the total resection needs DHCA, prolonged cardiopulmonary bypass and aortic cross-clamp times. These conditions expose the patient to the risk of coagulopathy, low cardiac output syndrome, and neurologic deficit.

Keywords: Deep hypothermic circulatory arrest; Mayo classification; intravascular leiomyoma.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
TG RV Inflow view
Figure 2
Figure 2
Thoracoabdominal CT Scan
Figure 3
Figure 3
Anatomopathological specimen
See this image and copyright information in PMC

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