François Cornélis, MD, Geneviève Belleannée, MD, Mathieu Lederlin, MD

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Presentation transcript:

Cardiac extension of an intravascular leiomyomatosis 43 years after hysterectomy François Cornélis, MD, Geneviève Belleannée, MD, Mathieu Lederlin, MD The Journal of Thoracic and Cardiovascular Surgery Volume 144, Issue 1, Pages e3-e5 (July 2012) DOI: 10.1016/j.jtcvs.2012.03.022 Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Transthoracic echocardiogram showing a mobile solid mass extending into the right cardiac cavities (arrow). B, Axial contrast-enhanced chest computed tomography: solid mass extending into the right atrium and ventricle through the tricuspid valve. C, Axial contrast-enhanced chest computed tomography: endoluminal thrombus (arrow) within the right lower lobar artery and its segmental branches. D, Axial contrast-enhanced abdominal computed tomography: enlargement of the inferior vena cava (arrow), which is almost completely occluded by a partly permeable thrombus. E, Axial contrast-enhanced abdominal computed tomography: extension of the thrombus into the lower inferior vena cava (arrow). F, Coronal reformation of contrast-enhanced computed tomography at chest and abdominal-pelvic levels: thrombus extending into the whole inferior vena cava (arrows) and continuing to the left common iliac vein (lower arrow). G, Microscopic image from the tumor stained with anti-alpha actin antibody (20× magnification) showing smooth muscle infiltration within the tumor. H, Microscopic image from the tumor stained with progesterone receptor antibody (40×magnification) showing cells intensely positive for progesterone receptor. The Journal of Thoracic and Cardiovascular Surgery 2012 144, e3-e5DOI: (10.1016/j.jtcvs.2012.03.022) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions