Abstract
The objective of this study was to explain step by step how to achieve a complete
resection of an intravascular leiomyoma. A 48-year-old woman was referred to our institution
with progressive dyspnea on exertion, lightheadedness, and previous history of total
abdominal hysterectomy and bilateral salpingo-oophorectomy for a uterine leiomyoma
echocardiography, computed tomography, and magnetic resonance imaging of the heart
and abdomen/pelvis were performed and an intracaval mass with extension into the right
heart and pulmonary artery was identified. After multidisciplinary review, a single-stage
sternotomy–laparotomy procedure on cardiopulmonary bypass (with beating heart, mild
hypothermia, and no deep hypothermic circulatory arrest) ensured complete resection
of a giant intravenous leiomyoma (IVL). Multidisciplinary approach, multimodality
imaging, and single-stage sternotomy–laparotomy procedure on cardiopulmonary bypass
(with heart beating and mild hypothermia) ensure complete resection of IVL.
Keywords
leiomyoma - cardiopulmonary bypass - laparotomy - sternotomy - excision - IVC - thrombosis
- resection
