Intravascular leiomyomatosis with cardiac extension, a case report
Abstract Background Intravascular leiomyomatosis (IVL) is a histologically benign smooth muscle tumor arising from the uterus that can spread through the pelvic veins and, on rare occasions, extend as far as the heart via the inferior vena cava. Despite its benign characteristics, it can behave like...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-023-02344-9 |
| _version_ | 1797451570346983424 |
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| author | Juan Garcés Garcés Fernando Terán Camacho Gerardo Dávalos Dávalos Sofía Zárate León Ligia Redrobán Armendáriz Vladimir Ullauri Solórzano Gabriel A. Molina Santiago Endara Aguirre |
| author_facet | Juan Garcés Garcés Fernando Terán Camacho Gerardo Dávalos Dávalos Sofía Zárate León Ligia Redrobán Armendáriz Vladimir Ullauri Solórzano Gabriel A. Molina Santiago Endara Aguirre |
| author_sort | Juan Garcés Garcés |
| collection | DOAJ |
| description | Abstract Background Intravascular leiomyomatosis (IVL) is a histologically benign smooth muscle tumor arising from the uterus that can spread through the pelvic veins and, on rare occasions, extend as far as the heart via the inferior vena cava. Despite its benign characteristics, it can behave like a malignant tumor leading to significant morbidity and even mortality if left untreated. Case presentation The patient is a 42-year-old woman with a past medical history of uterine leiomyomas. She presented with heavy bleeding and frequent spotting; therefore, she went to her gynecologist. After further evaluation, a mass within the uterus that expanded into the pelvic veins, inferior vena cava, and right atrium was discovered. After the complete removal of the mass, the patient underwent full recovery. IVL with cardiac extension was the final diagnosis. Conclusion Although IVL is rare, it must be considered in women who underwent previous hysterectomies or myomectomies and present with symptoms of right heart failure. The ideal therapy will need the aid of a multidisciplinary team and will depend on the patient’s symptoms, previous operative history, the tumor’s extension, and resectability. |
| first_indexed | 2024-03-09T14:56:32Z |
| format | Article |
| id | doaj.art-d03adc52ac884ae1871b78a5c4259356 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-03-09T14:56:32Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-d03adc52ac884ae1871b78a5c42593562023-11-26T14:12:12ZengBMCJournal of Cardiothoracic Surgery1749-80902023-09-011811510.1186/s13019-023-02344-9Intravascular leiomyomatosis with cardiac extension, a case reportJuan Garcés Garcés0Fernando Terán Camacho1Gerardo Dávalos Dávalos2Sofía Zárate León3Ligia Redrobán Armendáriz4Vladimir Ullauri Solórzano5Gabriel A. Molina6Santiago Endara Aguirre7Radiology Service, Internal Medicine Department, Hospital MetropolitanoOncological Surgery, Surgery Department, Hospital MetropolitanoCardiothoracic Surgery, Surgery Department, Hospital MetropolitanoGeneral Surgery, Surgery Department, Hospital MetropolitanoPathology Service, Internal Medicine Department, Hospital MetropolitanoCardiology Service, Internal Medicine Department, Hospital MetropolitanoGeneral Surgery, Surgery Department, Hospital Metropolitano & USFQCardiothoracic Surgery, Surgery Department, Hospital MetropolitanoAbstract Background Intravascular leiomyomatosis (IVL) is a histologically benign smooth muscle tumor arising from the uterus that can spread through the pelvic veins and, on rare occasions, extend as far as the heart via the inferior vena cava. Despite its benign characteristics, it can behave like a malignant tumor leading to significant morbidity and even mortality if left untreated. Case presentation The patient is a 42-year-old woman with a past medical history of uterine leiomyomas. She presented with heavy bleeding and frequent spotting; therefore, she went to her gynecologist. After further evaluation, a mass within the uterus that expanded into the pelvic veins, inferior vena cava, and right atrium was discovered. After the complete removal of the mass, the patient underwent full recovery. IVL with cardiac extension was the final diagnosis. Conclusion Although IVL is rare, it must be considered in women who underwent previous hysterectomies or myomectomies and present with symptoms of right heart failure. The ideal therapy will need the aid of a multidisciplinary team and will depend on the patient’s symptoms, previous operative history, the tumor’s extension, and resectability.https://doi.org/10.1186/s13019-023-02344-9Intravascular leiomyomatosis (IVL)Heart TumorVascular growth |
| spellingShingle | Juan Garcés Garcés Fernando Terán Camacho Gerardo Dávalos Dávalos Sofía Zárate León Ligia Redrobán Armendáriz Vladimir Ullauri Solórzano Gabriel A. Molina Santiago Endara Aguirre Intravascular leiomyomatosis with cardiac extension, a case report Journal of Cardiothoracic Surgery Intravascular leiomyomatosis (IVL) Heart Tumor Vascular growth |
| title | Intravascular leiomyomatosis with cardiac extension, a case report |
| title_full | Intravascular leiomyomatosis with cardiac extension, a case report |
| title_fullStr | Intravascular leiomyomatosis with cardiac extension, a case report |
| title_full_unstemmed | Intravascular leiomyomatosis with cardiac extension, a case report |
| title_short | Intravascular leiomyomatosis with cardiac extension, a case report |
| title_sort | intravascular leiomyomatosis with cardiac extension a case report |
| topic | Intravascular leiomyomatosis (IVL) Heart Tumor Vascular growth |
| url | https://doi.org/10.1186/s13019-023-02344-9 |
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