Resection of an intravenous leiomyoma with intracardiac extension with use of endovascular techniques Brian G. DeRubertis, MD, Daniel Clair, MD, Peter.

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Presentation transcript:

Resection of an intravenous leiomyoma with intracardiac extension with use of endovascular techniques Brian G. DeRubertis, MD, Daniel Clair, MD, Peter Faries, MD, Sandip Kapur, MD, Kay Park, MD, K.Craig Kent, MD Journal of Vascular Surgery Volume 40, Issue 3, Pages 554-558 (September 2004) DOI: 10.1016/j.jvs.2004.05.024

Fig 1 A, Computed tomography scan of the abdomen and pelvis performed immediately after sternotomy for resection of an atrial lesion demonstrates a large uterine mass (arrowheads) representing a leiomyoma with extension into the pelvic veins. B, Intraluminal component of tumor (arrowheads) is clearly visible within the inferior vena cava beyond the level of the renal veins (asterisks). C, Tumor ends several centimeters below the diaphragm, as demonstrated in this image of the retrohepatic inferior vena cava, which is absent of an intraluminal filling defect. Journal of Vascular Surgery 2004 40, 554-558DOI: (10.1016/j.jvs.2004.05.024)

Fig 2 A, Intraoperative venogram performed during attempted inferior vena cava filter placement 2 months after obtaining the computed tomography scan in Fig 1. Arrowheads indicate a luminal filling defect consistent with tumor extending above the diaphragm. B, Computed tomography scan obtained at this time confirms extension of tumor beyond the diaphragm and into the right atrium (asterisk). Journal of Vascular Surgery 2004 40, 554-558DOI: (10.1016/j.jvs.2004.05.024)

Fig 3 Section of tumor removed from the vena cava. Tumor consists of firm, rubbery, gray-white tissue. Journal of Vascular Surgery 2004 40, 554-558DOI: (10.1016/j.jvs.2004.05.024)