Matthew Williams, DO, Tomas Salerno, MD, Anthony L. Panos, MD

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Presentation transcript:

Right ventricular and epicardial tumors from benign metastasizing uterine leiomyoma Matthew Williams, DO, Tomas Salerno, MD, Anthony L. Panos, MD The Journal of Thoracic and Cardiovascular Surgery Volume 151, Issue 2, Pages e21-e24 (February 2016) DOI: 10.1016/j.jtcvs.2015.09.059 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Left: A 19 × 17-cm uterine fibroid on computed tomography scan. The Journal of Thoracic and Cardiovascular Surgery 2016 151, e21-e24DOI: (10.1016/j.jtcvs.2015.09.059) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Right: Short-axis aortic valve transthoracic echocardiogram view showing 4.5-cm RV outflow tract mass. The Journal of Thoracic and Cardiovascular Surgery 2016 151, e21-e24DOI: (10.1016/j.jtcvs.2015.09.059) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Top left: Cardiac magnetic resonance imaging showing RV mass. The Journal of Thoracic and Cardiovascular Surgery 2016 151, e21-e24DOI: (10.1016/j.jtcvs.2015.09.059) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Top right: Cardiac magnetic resonance imaging showing epicardial mass. The Journal of Thoracic and Cardiovascular Surgery 2016 151, e21-e24DOI: (10.1016/j.jtcvs.2015.09.059) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Bottom: Magnetic resonance imaging showing the relationship of the 2 masses. The Journal of Thoracic and Cardiovascular Surgery 2016 151, e21-e24DOI: (10.1016/j.jtcvs.2015.09.059) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 6 Left: Excised RV tumor. The Journal of Thoracic and Cardiovascular Surgery 2016 151, e21-e24DOI: (10.1016/j.jtcvs.2015.09.059) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 7 Right: Epicardial tumor. The left anterior descending coronary artery is interrupted by the mass, and the left anterior descending coronary artery runs on the right lateral border of the mass. The Journal of Thoracic and Cardiovascular Surgery 2016 151, e21-e24DOI: (10.1016/j.jtcvs.2015.09.059) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 8 A, (top left) Hematoxylin–eosin stain (high power). B, Desmin stain (low power). C, Progesterone receptor stain (high power). D, Estrogen receptor stain (high power). E, Ki-67 stain. F, Epicardial tumor, hematoxylin–eosin stain (mid power). The Journal of Thoracic and Cardiovascular Surgery 2016 151, e21-e24DOI: (10.1016/j.jtcvs.2015.09.059) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

RV tumor and epicardial tumor involving the left anterior descending coronary artery. The Journal of Thoracic and Cardiovascular Surgery 2016 151, e21-e24DOI: (10.1016/j.jtcvs.2015.09.059) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions