Case report: Cardiac metastatic uterine intravenous leiomyomatosis excision with extracorporeal venous shunt under the guidance of 3-dimensional printing
Intravenous leiomyomatosis (IVL) is relatively rare, and the incidence of cardiac IVL is even lower. The case report introduces a 48-year-old woman with two episodes of syncope in 2021. Echocardiography showed a cord-like mass in the inferior vena cava (IVC), right atrium (RA), right ventricle (RV)...
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| Format: | Article |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1117227/full |
| _version_ | 1797803767170596864 |
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| author | Hong Chen Yu Mao Hongtao Xie Dejun Liu Shun Zhang Yongcang Tian Jian Yang Benjian Bai |
| author_facet | Hong Chen Yu Mao Hongtao Xie Dejun Liu Shun Zhang Yongcang Tian Jian Yang Benjian Bai |
| author_sort | Hong Chen |
| collection | DOAJ |
| description | Intravenous leiomyomatosis (IVL) is relatively rare, and the incidence of cardiac IVL is even lower. The case report introduces a 48-year-old woman with two episodes of syncope in 2021. Echocardiography showed a cord-like mass in the inferior vena cava (IVC), right atrium (RA), right ventricle (RV) and pulmonary artery. Computed tomography venography and magnetic resonance imaging showed strips in RA, RV, IVC, right common iliac vein, and internal iliac vein, as well as a round-like mass in the right uterine adnexa. Combined with the patient's prior surgical history and rare anatomical structures, surgeons used cardiovascular 3-dimensional (3D) printing technology to create patient-specific preoperative 3D printed model. The model could help surgeons to visually and accurately understand the size of IVL and its relationship to adjacent tissues. Finally, surgeons successfully performed a concurrent transabdominal resection of cardiac metastatic IVL and adnexal hysterectomy with off-cardiopulmonary bypass. Preoperative evaluation and guidance of 3D printing may play a critical role to ensure this surgery for the patient with rare anatomical structures and high surgical risk.Clinical Trial Registration: [ClinicalTrials.gov], Protocol Registration System [NCT02917980]. |
| first_indexed | 2024-03-13T05:26:59Z |
| format | Article |
| id | doaj.art-f7948ecf239a4bd4b4a0714987d468ef |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-13T05:26:59Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-f7948ecf239a4bd4b4a0714987d468ef2023-06-15T05:53:43ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-06-011010.3389/fcvm.2023.11172271117227Case report: Cardiac metastatic uterine intravenous leiomyomatosis excision with extracorporeal venous shunt under the guidance of 3-dimensional printingHong Chen0Yu Mao1Hongtao Xie2Dejun Liu3Shun Zhang4Yongcang Tian5Jian Yang6Benjian Bai7Department of Cardiovascular Surgery, The Second Affiliated Hospital of Shaanxi University of Chinese Medicine Xi’an New Area Central Hospital, Xi’an, ChinaDepartment of Cardiovascular Surgery, Xijing Hospital, Air Force Medical University, Xi’an, ChinaDepartment of Cardiovascular Surgery, The Second Affiliated Hospital of Shaanxi University of Chinese Medicine Xi’an New Area Central Hospital, Xi’an, ChinaDepartment of Cardiovascular Surgery, The Second Affiliated Hospital of Shaanxi University of Chinese Medicine Xi’an New Area Central Hospital, Xi’an, ChinaDepartment of Cardiovascular Surgery, The Second Affiliated Hospital of Shaanxi University of Chinese Medicine Xi’an New Area Central Hospital, Xi’an, ChinaDepartment of Cardiovascular Surgery, The Second Affiliated Hospital of Shaanxi University of Chinese Medicine Xi’an New Area Central Hospital, Xi’an, ChinaDepartment of Cardiovascular Surgery, Xijing Hospital, Air Force Medical University, Xi’an, ChinaDepartment of Cardiovascular Surgery, The Second Affiliated Hospital of Shaanxi University of Chinese Medicine Xi’an New Area Central Hospital, Xi’an, ChinaIntravenous leiomyomatosis (IVL) is relatively rare, and the incidence of cardiac IVL is even lower. The case report introduces a 48-year-old woman with two episodes of syncope in 2021. Echocardiography showed a cord-like mass in the inferior vena cava (IVC), right atrium (RA), right ventricle (RV) and pulmonary artery. Computed tomography venography and magnetic resonance imaging showed strips in RA, RV, IVC, right common iliac vein, and internal iliac vein, as well as a round-like mass in the right uterine adnexa. Combined with the patient's prior surgical history and rare anatomical structures, surgeons used cardiovascular 3-dimensional (3D) printing technology to create patient-specific preoperative 3D printed model. The model could help surgeons to visually and accurately understand the size of IVL and its relationship to adjacent tissues. Finally, surgeons successfully performed a concurrent transabdominal resection of cardiac metastatic IVL and adnexal hysterectomy with off-cardiopulmonary bypass. Preoperative evaluation and guidance of 3D printing may play a critical role to ensure this surgery for the patient with rare anatomical structures and high surgical risk.Clinical Trial Registration: [ClinicalTrials.gov], Protocol Registration System [NCT02917980].https://www.frontiersin.org/articles/10.3389/fcvm.2023.1117227/fulluterine leiomyomatosissurgical treatmentextracorporeal venous shunt3-Dimensional printingintravenous leiomyomatosis (IVL) |
| spellingShingle | Hong Chen Yu Mao Hongtao Xie Dejun Liu Shun Zhang Yongcang Tian Jian Yang Benjian Bai Case report: Cardiac metastatic uterine intravenous leiomyomatosis excision with extracorporeal venous shunt under the guidance of 3-dimensional printing Frontiers in Cardiovascular Medicine uterine leiomyomatosis surgical treatment extracorporeal venous shunt 3-Dimensional printing intravenous leiomyomatosis (IVL) |
| title | Case report: Cardiac metastatic uterine intravenous leiomyomatosis excision with extracorporeal venous shunt under the guidance of 3-dimensional printing |
| title_full | Case report: Cardiac metastatic uterine intravenous leiomyomatosis excision with extracorporeal venous shunt under the guidance of 3-dimensional printing |
| title_fullStr | Case report: Cardiac metastatic uterine intravenous leiomyomatosis excision with extracorporeal venous shunt under the guidance of 3-dimensional printing |
| title_full_unstemmed | Case report: Cardiac metastatic uterine intravenous leiomyomatosis excision with extracorporeal venous shunt under the guidance of 3-dimensional printing |
| title_short | Case report: Cardiac metastatic uterine intravenous leiomyomatosis excision with extracorporeal venous shunt under the guidance of 3-dimensional printing |
| title_sort | case report cardiac metastatic uterine intravenous leiomyomatosis excision with extracorporeal venous shunt under the guidance of 3 dimensional printing |
| topic | uterine leiomyomatosis surgical treatment extracorporeal venous shunt 3-Dimensional printing intravenous leiomyomatosis (IVL) |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1117227/full |
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