Surgical Management of Intracardiac Extension Leiomyoma:
A
Case Report: and Review Literature
Karunasumetta C, MD¹, Wongbhuddha C, MD¹, Chanmayka T, MD¹, Mitprachapranee C, MD¹, Prathanee S, MD¹, Tantisirin C, MD¹
Affiliation : ¹ Division of Cardiothoracic Surgery, Department of Surgery, Srinagarind Hospital and Queen Sirikit Heart Center of the Northeast, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
A 49-year-old woman presented with complete heart block and recurrent syncope, which had caused a left fibula fracture. Transthoracic echocardiography showed a large right atrial mass. She received an emergency operation due to signs of tumor obstruction. A tumor was found originating from the inferior vena cava (IVC). Partial tumor removal was performed. A postoperative computed tomography scan revealed a uterine mass and tumor extension along the IVC. The pathological report confirmed a diagnosis of leiomyoma with intracardiac extension. She underwent residual IVC tumor removal under cardiopulmonary bypass using the deep hypothermic circulatory arrest technique. The patient was scheduled for a hysterectomy and bilateral salpingo-oophorectomy two months later and recovered uneventfully.
Keywords : Intravenous leiomyoma, Intracardiac extension leiomyoma, Cardiopulmonary bypass, Deep hypothermic circulatory arrest
