Surgical treatment of intracardiac leiomyomatosis

Gan, Hui-Li; Zhang, Jianqun; Zhou, Qiwen; Kong, Qingyu; Zhao, Shuang; Bo, Ping

doi:10.1016/j.jtcvs.2011.01.023

Cited by 21 publications

(36 citation statements)

References 20 publications

(21 reference statements)

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“…Most cardiac leiomyomas described in the literature are extensions of an intravenous leiomyomatosis [2], and we have found only one previous report of a primary cardiac leiomyoma [5]. The latter was diagnosed in an asymptomatic 13-year-old boy and described as an intracardiac mass located in the lateral free wall of the right ventricle [5].…”

Section: Discussionmentioning

confidence: 84%

Primary Cardiac Leiomyoma of the Ventricular Septum: A Rare Form of Pediatric Intracardiac Tumor

et al. 2012

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A case of ventricular septal tumor diagnosed in 7-month-old boy is reported. An echocardiogram was performed for investigation of a heart murmur in an otherwise healthy infant. He remained asymptomatic, and the tumor had a very slow growth. When the boy was 9 years old, partial surgical excision was performed for right ventricular outflow tract obstruction. Histology showed a primary cardiac leiomyoma. To the authors’ knowledge, a primary cardiac leiomyoma of the ventricular septum has not been reported previously.

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Section: Discussionmentioning

confidence: 84%

Primary Cardiac Leiomyoma of the Ventricular Septum: A Rare Form of Pediatric Intracardiac Tumor

et al. 2012

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“…Currently, no more than 10 cases of right intracardiac tumor have been completely resected through abdominal incision [11,12]. ey believed that the resection of the tumor through abdominal incision should meet the following requirements: (1) the tumor was free in the inferior vena cava and right atrium; (2) the maximum diameter of the tumor was smaller than the minimum diameter of the inferior vena cava.…”

Section: Discussionmentioning

confidence: 99%

“…We found that the tumor had no adhesion to the inferior vena cava; however, it adhered tightly to the right internal iliac vein. After undergoing these two surgeries and reviewing the literature [9][10][11][12], we found that most of the tumors were free in the inferior vena cava and the right atrium. It was assumed that the tumors in the right atrium could be removed directly through abdominal incision, avoiding thoracotomy to establish extracorporeal circulation.…”

Section: Operative Procedurementioning

confidence: 99%

Intravenous Leiomyomatosis of the Uterus: A Retrospective Single-Center Study in 14 Cases

Zhang

et al. 2020

BioMed Research International

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Purpose. This study aimed to retrospectively review the diagnosis and surgical treatment of uterine intravenous leiomyomatosis (IVL). Methods. The clinical data of 14 patients with uterine IVL admitted to our hospital between 2013 and 2018 were retrospectively analyzed, including their demographics, imaging results, surgical procedures, perioperative complications, and follow-up results. Results. The tumors were confined to the pelvic cavity in 7 patients, 1 into the inferior vena cava, 4 into the right atrium, and 2 into the pulmonary artery (including 1 into the superior vena cava). Only one case was misdiagnosed as right atrial myxoma before the operation, which was found during the surgery and was treated by staging surgery; all the other patients underwent one-stage surgical resection. Three patients underwent complete resection of the right atrial tumor through the abdominal incision, and one patient died of heart failure in the process of resection of heart tumor without abdominal surgery. During the 6–60 months of follow-up, 4 patients developed deep venous thrombosis of the lower extremity, and 1 patient developed ovarian vein thrombosis and pulmonary embolism. After anticoagulation treatment, the symptoms disappeared. One patient refused hysterectomy and the uterine fibroids recurred 4 years after the operation. Conclusion. Specific surgical plans for uterine IVL can be formulated according to cardiac ultrasound and computed tomography (CT). For the first type of tumor involving the right atrium, the right atrium tumor can be completely removed through the abdominal incision alone to avoid thoracotomy. The disease is at high risk of thrombosis and perioperative routine anticoagulation is required.

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“…Resections of the intracardiac and intravenous tumors through atriotomy and venotomy in a one-stage or twostage manner are the common strategies for surgical treatment of ICL 1,2 ; however, patients have to undergo double incisions (ie, thoracotomy and laparotomy). Unlike other intra-IVC tumors, such as the friable renal tumor, ICL is characteristically of high tensile strength.…”

Section: Discussionmentioning

confidence: 99%

“…Several surgical strategies have already been established according to the morphology of the ICL. 1,2 This case study introduces a strategy of single-stage resection through a laparotomy under peripheral cardiopulmonary bypass (CPB).…”

mentioning

confidence: 99%

Complete resection of intracardiac leiomyomatosis through an abdominal approach under peripheral cardiopulmonary bypass

et al. 2016

The Journal of Thoracic and Cardiovascular Surgery

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Surgical treatment of intracardiac leiomyomatosis

Cited by 21 publications

References 20 publications

Primary Cardiac Leiomyoma of the Ventricular Septum: A Rare Form of Pediatric Intracardiac Tumor

Primary Cardiac Leiomyoma of the Ventricular Septum: A Rare Form of Pediatric Intracardiac Tumor

Intravenous Leiomyomatosis of the Uterus: A Retrospective Single-Center Study in 14 Cases

Complete resection of intracardiac leiomyomatosis through an abdominal approach under peripheral cardiopulmonary bypass

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