Linda M. Harris, MD, Constantine P. Karakousis, MD

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Presentation transcript:

Intravenous leiomyomatosis with cardiac extension: Tumor thrombectomy through an abdominal approach Linda M. Harris, MD, Constantine P. Karakousis, MD Journal of Vascular Surgery Volume 31, Issue 5, Pages 1046-1051 (May 2000) DOI: 10.1067/mva.2000.104601 Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 CT scan of the chest demonstrates an intracardiac mass. CT, Computed tomography. Journal of Vascular Surgery 2000 31, 1046-1051DOI: (10.1067/mva.2000.104601) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Inferior venocavogram shows an intraluminal filling defect that appears to be adherent to the caval wall below the level of the hepatic veins. Journal of Vascular Surgery 2000 31, 1046-1051DOI: (10.1067/mva.2000.104601) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Illustration of surgical approach. A, The patient is positioned for an anterolateral approach. B, After reflection of the ascending colon and duodenum, the IVC is identified. C, Vascular control was obtained with a vessel loop superiorly and a vascular clamp inferiorly. D, The tumor was extracted with an ellipse of IVC. IVC, Inferior vena cava. Journal of Vascular Surgery 2000 31, 1046-1051DOI: (10.1067/mva.2000.104601) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 A large, smooth mass with varying widths is seen after extraction from the IVC. IVC, Inferior vena cava. Collective review of patients with cardiac extension of intravenous leiomyomatosis Journal of Vascular Surgery 2000 31, 1046-1051DOI: (10.1067/mva.2000.104601) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions