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Ann Thorac Surg 2004;78:330-332
© 2004 The Society of Thoracic Surgeons

Case report

Intravenous leiomyomatosis extending into the right ventricle after subtotal hysterectomy

Mehmet Sah Topcuoglu, MDa*, Hafize Yaliniz, MDa, Hakan Poyrazoglu, MDa, Acar Tokcan, MDa, Süleyman Cansun Demir, MDb, Abdi Bozkurt, MDc, Handan Zeren, MDd

a Cardiovascular Surgery, Medical School, Çukurova University, Adana, Turkey
b Obstetrics and Gynecology, Medical School, Çukurova University, Adana, Turkey
c Cardiology, Medical School, Çukurova University, Adana, Turkey
d Pathology, Medical School, Çukurova University, Adana, Turkey

Accepted for publication June 13, 2003.

* Address reprint requests to Dr Topcuoglu, Department of Cardiovascular Surgery, Medical School, Çukurova University, Balcali-Adana/01330 Turkey
e-mail: sahtopcu{at}yahoo.com

A case of intravenous leiomyomatosis with extention into the right ventricle is described. A tumor in the inferior vena cava was detected three years after a subtotal hysterectomy had been performed for a myomatous uterus but was misdiagnosed as a thrombus. The tumor enlarged and intruded into the right ventricle for which she underwent surgery. The correct diagnosis was made during the surgery, therefore a two-stage resection was planned. Surgical resection is the best treatment for intracardiac extention of intravenous leiomyoma. We recommend iliac venotomy to remove the ilio-caval portion of the tumor in both stages of operations.




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Leiomyomatosis with extension to the left gluteal muscle, inferior vena cava, and right atrium.
Am. J. Roentgenol., November 1, 2006; 187(5): W546 - W547.
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