Intravenous Leiomyomatosis With Extension to the Heart: Echocardiographic Features: A Case Report
A 40-year-old female was admitted to the hospital for an operation with a presumptive diagnosis of right atrial myxoma. She had had a hysterectomy for leiomyoma 8 months earlier and has since experienced progressive dyspnea on exertion, pedal edema, and two syncope episodes in the past 2 months. Car...
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| Veröffentlicht in: | Angiology 2007-06, Vol.58 (3), p.376-379 |
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| creator | Fang, Ber-Ren Ng, Yuet-Tong Yeh, Chi-Hsiao |
| description | A 40-year-old female was admitted to the hospital for an operation with a presumptive diagnosis of right atrial myxoma. She had had a hysterectomy for leiomyoma 8 months earlier and has since experienced progressive dyspnea on exertion, pedal edema, and two syncope episodes in the past 2 months. Cardiac murmur was detected and two-dimensional echocardiography was arranged. A mobile right atrial mass was discovered, which was thought to be a myxoma. The patient subsequently received open heart surgery. Histologic examination of the resected mass confirmed intravenous leiomyomatosis. Magnetic resonance imaging performed on the eighth postoperative day revealed an intravascular mass from the right common iliac vein to the upper abdominal inferior vena cava. The patient underwent a second operation one and half months after the first operation, with resection of the tumor mass in the inferior vena cava and resection of multiple uterine myoma. She recovered well. Repeat magnetic resonance imaging 6 months following the second operation showed that the inferior vena cava and right atrium were clear of tumor. |
| doi_str_mv | 10.1177/0003319707302504 |
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She had had a hysterectomy for leiomyoma 8 months earlier and has since experienced progressive dyspnea on exertion, pedal edema, and two syncope episodes in the past 2 months. Cardiac murmur was detected and two-dimensional echocardiography was arranged. A mobile right atrial mass was discovered, which was thought to be a myxoma. The patient subsequently received open heart surgery. Histologic examination of the resected mass confirmed intravenous leiomyomatosis. Magnetic resonance imaging performed on the eighth postoperative day revealed an intravascular mass from the right common iliac vein to the upper abdominal inferior vena cava. The patient underwent a second operation one and half months after the first operation, with resection of the tumor mass in the inferior vena cava and resection of multiple uterine myoma. She recovered well. Repeat magnetic resonance imaging 6 months following the second operation showed that the inferior vena cava and right atrium were clear of tumor.</description><identifier>ISSN: 0003-3197</identifier><identifier>EISSN: 1940-1574</identifier><identifier>DOI: 10.1177/0003319707302504</identifier><identifier>PMID: 17626995</identifier><identifier>CODEN: ANGIAB</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Biological and medical sciences ; Blood and lymphatic vessels ; Cardiac Surgical Procedures ; Cardiology. Vascular system ; Diagnosis, Differential ; Diseases of the aorta ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Echocardiography, Transesophageal ; Female ; Heart Atria - pathology ; Heart Neoplasms - diagnostic imaging ; Heart Neoplasms - pathology ; Heart Neoplasms - surgery ; Hormones. Endocrine system ; Humans ; Hysterectomy ; Iliac Vein - pathology ; Leiomyomatosis - diagnosis ; Leiomyomatosis - diagnostic imaging ; Leiomyomatosis - pathology ; Leiomyomatosis - surgery ; Magnetic Resonance Imaging ; Medical sciences ; Middle Aged ; Myxoma - diagnosis ; Myxoma - diagnostic imaging ; Myxoma - pathology ; Neoplasm Invasiveness ; Neoplasm Recurrence, Local ; Pharmacology. Drug treatments ; Treatment Outcome ; Uterine Neoplasms - diagnosis ; Uterine Neoplasms - diagnostic imaging ; Uterine Neoplasms - pathology ; Uterine Neoplasms - surgery ; Vascular Neoplasms - diagnostic imaging ; Vascular Neoplasms - pathology ; Vascular Neoplasms - surgery ; Vascular Surgical Procedures ; Vena Cava, Inferior - pathology</subject><ispartof>Angiology, 2007-06, Vol.58 (3), p.376-379</ispartof><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c318t-bb16620bf98f28a3396b0d50b24a3a2dce03dab3f06d7902e45f11be576456b83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0003319707302504$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0003319707302504$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18893777$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17626995$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fang, Ber-Ren</creatorcontrib><creatorcontrib>Ng, Yuet-Tong</creatorcontrib><creatorcontrib>Yeh, Chi-Hsiao</creatorcontrib><title>Intravenous Leiomyomatosis With Extension to the Heart: Echocardiographic Features: A Case Report</title><title>Angiology</title><addtitle>Angiology</addtitle><description>A 40-year-old female was admitted to the hospital for an operation with a presumptive diagnosis of right atrial myxoma. She had had a hysterectomy for leiomyoma 8 months earlier and has since experienced progressive dyspnea on exertion, pedal edema, and two syncope episodes in the past 2 months. Cardiac murmur was detected and two-dimensional echocardiography was arranged. A mobile right atrial mass was discovered, which was thought to be a myxoma. The patient subsequently received open heart surgery. Histologic examination of the resected mass confirmed intravenous leiomyomatosis. Magnetic resonance imaging performed on the eighth postoperative day revealed an intravascular mass from the right common iliac vein to the upper abdominal inferior vena cava. The patient underwent a second operation one and half months after the first operation, with resection of the tumor mass in the inferior vena cava and resection of multiple uterine myoma. She recovered well. Repeat magnetic resonance imaging 6 months following the second operation showed that the inferior vena cava and right atrium were clear of tumor.</description><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiac Surgical Procedures</subject><subject>Cardiology. Vascular system</subject><subject>Diagnosis, Differential</subject><subject>Diseases of the aorta</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Echocardiography, Transesophageal</subject><subject>Female</subject><subject>Heart Atria - pathology</subject><subject>Heart Neoplasms - diagnostic imaging</subject><subject>Heart Neoplasms - pathology</subject><subject>Heart Neoplasms - surgery</subject><subject>Hormones. Endocrine system</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>Iliac Vein - pathology</subject><subject>Leiomyomatosis - diagnosis</subject><subject>Leiomyomatosis - diagnostic imaging</subject><subject>Leiomyomatosis - pathology</subject><subject>Leiomyomatosis - surgery</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myxoma - diagnosis</subject><subject>Myxoma - diagnostic imaging</subject><subject>Myxoma - pathology</subject><subject>Neoplasm Invasiveness</subject><subject>Neoplasm Recurrence, Local</subject><subject>Pharmacology. Drug treatments</subject><subject>Treatment Outcome</subject><subject>Uterine Neoplasms - diagnosis</subject><subject>Uterine Neoplasms - diagnostic imaging</subject><subject>Uterine Neoplasms - pathology</subject><subject>Uterine Neoplasms - surgery</subject><subject>Vascular Neoplasms - diagnostic imaging</subject><subject>Vascular Neoplasms - pathology</subject><subject>Vascular Neoplasms - surgery</subject><subject>Vascular Surgical Procedures</subject><subject>Vena Cava, Inferior - pathology</subject><issn>0003-3197</issn><issn>1940-1574</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kNFr2zAQh8VYWdJu73saftnevJ4kW7L3VkLaFAKD0rFHc5LPjUJsZZJclv--DgkUCn06jvt-d9zH2FcOPznX-hoApOS1Bi1BlFB8YHNeF5DzUhcf2fw4zo_zGbuMcTu1JQf1ic24VkLVdTlnD_dDCvhMgx9jtibn-4PvMfnoYvbXpU22_J9oiM4PWfJZ2lC2IgzpV7a0G28xtM4_BdxvnM1uCdMYKH5mFx3uIn051yv253b5uFjl699394ubdW4lr1JuDFdKgOnqqhMVSlkrA20JRhQoUbSWQLZoZAeq1TUIKsqOc0OlVkWpTCWv2I_T3n3w_0aKqeldtLTb4UDTN81khYtKHEE4gTb4GAN1zT64HsOh4dAcPTZvPU6Rb-fdo-mpfQ2cxU3A9zOA0eKuCzhYF1-5qqql1nri8hMX8YmarR_DMDl5__ALMvuHSw</recordid><startdate>20070601</startdate><enddate>20070601</enddate><creator>Fang, Ber-Ren</creator><creator>Ng, Yuet-Tong</creator><creator>Yeh, Chi-Hsiao</creator><general>SAGE Publications</general><general>Westminster</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20070601</creationdate><title>Intravenous Leiomyomatosis With Extension to the Heart: Echocardiographic Features</title><author>Fang, Ber-Ren ; Ng, Yuet-Tong ; Yeh, Chi-Hsiao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c318t-bb16620bf98f28a3396b0d50b24a3a2dce03dab3f06d7902e45f11be576456b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiac Surgical Procedures</topic><topic>Cardiology. Vascular system</topic><topic>Diagnosis, Differential</topic><topic>Diseases of the aorta</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Echocardiography, Transesophageal</topic><topic>Female</topic><topic>Heart Atria - pathology</topic><topic>Heart Neoplasms - diagnostic imaging</topic><topic>Heart Neoplasms - pathology</topic><topic>Heart Neoplasms - surgery</topic><topic>Hormones. Endocrine system</topic><topic>Humans</topic><topic>Hysterectomy</topic><topic>Iliac Vein - pathology</topic><topic>Leiomyomatosis - diagnosis</topic><topic>Leiomyomatosis - diagnostic imaging</topic><topic>Leiomyomatosis - pathology</topic><topic>Leiomyomatosis - surgery</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myxoma - diagnosis</topic><topic>Myxoma - diagnostic imaging</topic><topic>Myxoma - pathology</topic><topic>Neoplasm Invasiveness</topic><topic>Neoplasm Recurrence, Local</topic><topic>Pharmacology. Drug treatments</topic><topic>Treatment Outcome</topic><topic>Uterine Neoplasms - diagnosis</topic><topic>Uterine Neoplasms - diagnostic imaging</topic><topic>Uterine Neoplasms - pathology</topic><topic>Uterine Neoplasms - surgery</topic><topic>Vascular Neoplasms - diagnostic imaging</topic><topic>Vascular Neoplasms - pathology</topic><topic>Vascular Neoplasms - surgery</topic><topic>Vascular Surgical Procedures</topic><topic>Vena Cava, Inferior - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fang, Ber-Ren</creatorcontrib><creatorcontrib>Ng, Yuet-Tong</creatorcontrib><creatorcontrib>Yeh, Chi-Hsiao</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Angiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fang, Ber-Ren</au><au>Ng, Yuet-Tong</au><au>Yeh, Chi-Hsiao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intravenous Leiomyomatosis With Extension to the Heart: Echocardiographic Features: A Case Report</atitle><jtitle>Angiology</jtitle><addtitle>Angiology</addtitle><date>2007-06-01</date><risdate>2007</risdate><volume>58</volume><issue>3</issue><spage>376</spage><epage>379</epage><pages>376-379</pages><issn>0003-3197</issn><eissn>1940-1574</eissn><coden>ANGIAB</coden><abstract>A 40-year-old female was admitted to the hospital for an operation with a presumptive diagnosis of right atrial myxoma. She had had a hysterectomy for leiomyoma 8 months earlier and has since experienced progressive dyspnea on exertion, pedal edema, and two syncope episodes in the past 2 months. Cardiac murmur was detected and two-dimensional echocardiography was arranged. A mobile right atrial mass was discovered, which was thought to be a myxoma. The patient subsequently received open heart surgery. Histologic examination of the resected mass confirmed intravenous leiomyomatosis. Magnetic resonance imaging performed on the eighth postoperative day revealed an intravascular mass from the right common iliac vein to the upper abdominal inferior vena cava. The patient underwent a second operation one and half months after the first operation, with resection of the tumor mass in the inferior vena cava and resection of multiple uterine myoma. She recovered well. Repeat magnetic resonance imaging 6 months following the second operation showed that the inferior vena cava and right atrium were clear of tumor.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>17626995</pmid><doi>10.1177/0003319707302504</doi><tpages>4</tpages></addata></record> |
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| subjects | Biological and medical sciences Blood and lymphatic vessels Cardiac Surgical Procedures Cardiology. Vascular system Diagnosis, Differential Diseases of the aorta Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Echocardiography, Transesophageal Female Heart Atria - pathology Heart Neoplasms - diagnostic imaging Heart Neoplasms - pathology Heart Neoplasms - surgery Hormones. Endocrine system Humans Hysterectomy Iliac Vein - pathology Leiomyomatosis - diagnosis Leiomyomatosis - diagnostic imaging Leiomyomatosis - pathology Leiomyomatosis - surgery Magnetic Resonance Imaging Medical sciences Middle Aged Myxoma - diagnosis Myxoma - diagnostic imaging Myxoma - pathology Neoplasm Invasiveness Neoplasm Recurrence, Local Pharmacology. Drug treatments Treatment Outcome Uterine Neoplasms - diagnosis Uterine Neoplasms - diagnostic imaging Uterine Neoplasms - pathology Uterine Neoplasms - surgery Vascular Neoplasms - diagnostic imaging Vascular Neoplasms - pathology Vascular Neoplasms - surgery Vascular Surgical Procedures Vena Cava, Inferior - pathology |
| title | Intravenous Leiomyomatosis With Extension to the Heart: Echocardiographic Features: A Case Report |
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