1. Successful extraction of cardiac-extending intravenous leiomyomatosis through gonadal vein 
Koji Matsuo, M.D., Fernando Fleischman, M.D., Christian S. Ghattas, M.D., Anna S. Gabrielyan, M.D., Charles A. Ballard, M.D., Lynda D. Roman, M.D., C. Paul Morrow, M.D. 
Fertility and Sterility 
Volume 98, Issue 5, Pages e1 (November 2012)
DOI: /j.fertnstert
Copyright © 2012 American Society for Reproductive Medicine Terms and Conditions

2. Figure 1
Preoperative images of cardiac-extending IV leiomyoma (A and B): coronal and transverse view of CT scan, respectively. Intravascular leiomyomatosis in the inferior vena cava is shown with yellow arrows. (C) Coronal view of CT scan. A 20-week-size complex uterine mass is shown in yellow arrows. (D) Transthoracic echocardiogram. The tip of the intravascular leiomyoma in the right atrium is shown with a yellow arrow. CT = computed tomography; RV = right ventricle; LV = left ventricle; LA = left atrium.
Fertility and Sterility  , e1DOI: ( /j.fertnstert )
Copyright © 2012 American Society for Reproductive Medicine Terms and Conditions

3. Figure 2
Intraoperative findings and specimen of IV leiomyomatosis. (A) View from patient right side. Yellow arrows depict right gonadal vein filled with IV leiomyoma. *Broad ligament leiomyoma. (B) Right gonadal vein was incised longitudinally and IV leiomyoma is pulled with Pean clamp (yellow arrow). Right gonadal vein is secured with vessel tape (light-blue arrow). Right ureter is isolated and tagged (blue arrow). *Broad ligament leiomyoma. (C) En bloc resected specimen is shown from front view. Scissors are inserted in external cervical os (blue arrow). Light blue arrow points of uterine fundus. Large posterior cul de sac nodule is shown by brown arrow. Yellow arrow points to the IV leiomyoma, which measured 25 cm. (D) Hematoxylin and eosin stain for bladder peritoneal implants (10×). †IV leiomyoma.
Fertility and Sterility  , e1DOI: ( /j.fertnstert )
Copyright © 2012 American Society for Reproductive Medicine Terms and Conditions