Intracardiac Extension of Intravenous Leiomyomatosis

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• 作者：Jonathan D. Price ; MD^a ; Constantine Anagnostopoulos ; MD^a ; Alan Benvenisty ; MD^b ; Ravi K. Kothuru ; MD^a ; Sandhya K. Balaram ; MD ; PhD^a ; ^{sbalaram@chpnet.org}
• 刊名：The Annals of Thoracic Surgery
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：103
• 期：2
• 页码：e145-e147
• 全文大小：445 K
• 卷排序：103

文摘

Intravenous leiomyomatosis with intracardiac extension is a rare condition characterized by extensive growth of a benign uterine mass that extends into the venous system through uterine channels and then into the cardiac chambers. A variety of presentations exist; cure relies on complete surgical resection. Extensive abdominal dissection, cardiopulmonary bypass (with or without circulatory arrest), and removal of the intracaval component are required. However, because of the rarity and variety of presentation, exact preferred management has not been well defined. A specific case, followed by a comprehensive literature review, helps delineate the specific decision making necessary for mass removal.