An Unusual Case of Recurrent Mass in the Right Atrium: Intravenous Leiomyomatosis

Intravenous leiomyomatosis with a cardiac extension is an extremely rare condition. In this report, a case of a 43‐year‐old female patient is described: she was operated for right atrial mass protruding into the inferior vena cava, which was later diagnosed as leiomyoma. After a 3‐year symptom‐free...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2005-07, Vol.22 (6), p.514-516
Main Authors: Özer, Necla, Engin, Hüseyin, Akgül, Ebru, Şahiner, Levent, Atalar, Enver, Aksöyek, Serdar, Övünç, Kenan, Özmen, Ferhan, Kes, Sırrı
Format: Article
Language:English
Subjects:
Adult
Diagnosis, Differential
Echocardiography
Female
Heart Atria - diagnostic imaging
Heart Atria - surgery
Heart Neoplasms - diagnostic imaging
Heart Neoplasms - secondary
Heart Neoplasms - surgery
Humans
leiomyomatosis
Leiomyomatosis - diagnostic imaging
Leiomyomatosis - pathology
Leiomyomatosis - surgery
mass
Neoplasm Recurrence, Local
right atrium
Uterine Neoplasms - pathology
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Summary:Intravenous leiomyomatosis with a cardiac extension is an extremely rare condition. In this report, a case of a 43‐year‐old female patient is described: she was operated for right atrial mass protruding into the inferior vena cava, which was later diagnosed as leiomyoma. After a 3‐year symptom‐free period, recurrence of the extension through the inferior vena cava was observed. After abdominal ultrasonographic examination, which revealed bilateral ovarian and retroperitoneal mass, bilateral oopherectomy, retroperitoneal, and right atrial mass excision was done. The retroperitoneal and right atrial mass was reported as leiomyoma. On her last admission, she had complaints of dizziness, abdominal pain, and bilateral leg edema; and right atrial mass extending through the common iliac vein was noted, but the patient did not accept any further treatment modality.
ISSN:0742-2822
1540-8175
DOI:10.1111/j.1540-8175.2005.04053.x