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Ann Thorac Surg 1992;53:139-141
© 1992 The Society of Thoracic Surgeons

Articles

Recurrent intravenous leiomyomatosis with cardiac extension

Matthew M. Cooper, MD*, Jose Guillem, MD, Joseph Dalton, MD, Charles C. Marboe, MD, Steven Corwin, MD, George J. Todd, MD, Eric A. Rose, MD

Departments of Surgery, Pathology, and Medicine, Columbia-Presbyterian Medical Center, Columbia University College of Physicians and Surgeons, New York, New York, USA

Accepted for publication June 11, 1991.

* Address reprint requests to Dr Cooper, Cardiothoracic Unit, the Hospital for Sick Children, Great Ormond St. London WC 1N 3GH, England.

A case of recurrent intravenous leiomyomatosis with cardiac extension and a temporally extended presentation is described. Complete excision was achieved employing simultaneous sternotomy and laparotomy and deep hypothermia with circulatory arrest. Coronary revascularization was performed concomitantly with complete tumor resection. Diagnostic, operative, and pathologic considerations are reviewed and a preferred surgical approach discussed.




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