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Ann Thorac Surg. 2004 Jul;78(1):330-2.

Intravenous leiomyomatosis extending into the right ventricle after subtotal hysterectomy.

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  • 1Cardiovascular Surgery, Medical School, Cukurova University, Adana, Turkey.


A case of intravenous leiomyomatosis with extension into the right ventricle is described. A tumor in the inferior vena cava was detected three years after a subtotal hysterectomy had been performed for a myomatous uterus but was misdiagnosed as a thrombus. The tumor enlarged and intruded into the right ventricle for which she underwent surgery. The correct diagnosis was made during the surgery, therefore a two-stage resection was planned. Surgical resection is the best treatment for intracardiac extension of intravenous leiomyoma. We recommend iliac venotomy to remove the ilio-caval portion of the tumor in both stages of operations.

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