The diagnosis, morphological particularities, and surgical technique in a case of intravascular leiomyoma extended to the right heart chambers Zoltan.

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The diagnosis, morphological particularities, and surgical technique in a case of intravascular leiomyoma extended to the right heart chambers Zoltan Galajda, MD, PhD, Constantin Copotoiu, MD, PhD, Horatiu Suciu, MD, PhD, Diana Tint, MD, PhD, Tibor Glasz, MD, PhD, Radu Deac, MD, PhD Journal of Vascular Surgery Volume 51, Issue 4, Pages 1000-1002 (April 2010) DOI: 10.1016/j.jvs.2009.09.061 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Inferior vena cava is opened and the tumor removed under cardiopulmonary bypass (CPB) assistance. Journal of Vascular Surgery 2010 51, 1000-1002DOI: (10.1016/j.jvs.2009.09.061) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 Specimen morphology. A, The tumor is 29 cm length arising from left iliac vein to the right atrium. When sectioned transversally (B) and longitudinally (C), the tumor showed a lumen inside. Journal of Vascular Surgery 2010 51, 1000-1002DOI: (10.1016/j.jvs.2009.09.061) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 Immunohistochemistry aspects. A, Markers for smooth muscle demonstrate myogenic structure of the lesion (SMA, H-caldesmon, 100×). B, Immunohistochemstry against endothelium reveals a rich vascular content. (CD34, 100×). C, The proliferation marker denotes only scattered positivity (Ki67, 200×). Journal of Vascular Surgery 2010 51, 1000-1002DOI: (10.1016/j.jvs.2009.09.061) Copyright © 2010 Society for Vascular Surgery Terms and Conditions