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J Vasc Surg. 2010 Jul;52(1):212-5. doi: 10.1016/j.jvs.2010.02.018. Epub 2010 May 14.

A one-stage approach to the treatment of intravenous leiomyomatosis extending to the right heart.

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Unit of Vascular Surgery, Post Graduate School of Vascular Surgery, Department of Medico-Surgical Disciplines, University of Turin, Turin, Italy.


This report describes the case of a 60-year-old woman with a history of hysterectomy for myomas, totally asymptomatic, with incidental evidence of a pelvic intracaval mass extending to the right atrium. She underwent a staged procedure (sternothomic and abdominal) through a thoracolaparotomic approach in circulatory arrest and deep hypothermia. Using a one-stage surgical approach, we were able to withdraw one portion of the mass from the right atrium and another from the abdominal inferior vena cava, thus minimizing the risk of unexpected venous or atrial wall injury during surgical manipulation.

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