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Mladen J. Kocica
Mile R. Vranes
Milos M. Velinovic
Aleksandar Dj. Mikic
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J Thorac Cardiovasc Surg 2005;130:1724-1726
© 2005 The American Association for Thoracic Surgery

Brief Communications

Intravenous leiomyomatosis with extension to the heart: Rare or underestimated?

Mladen J. Kocica, MD a , * , Mile R. Vranes, PhD a , Dusan Kostic, PhD a , Natasa Kovacevic-Kostic, MD a , Vesna Lackovic, PhD b , Vesna Bozic-Mihajlovic, MD c , Milos M. Velinovic, PhD a , Aleksandar Dj. Mikic, MD a , Nevena Dimitrijevic-Kalezic, PhD d

a Institute for Cardiovascular Diseases,
b Institute for Histology and Embryology
c Institute for Pathology,
d Institute for Enocrinology, UC Clinical Centre of Serbia, Serbia and Montenegro

* Address for reprints: Mladen J. Kocica, MD, UC Clinical Centre of Serbia, Institute for Cardiovascular Diseases, Clinic for Cardiac Surgery, 8th Kosta Todorovic St, 11000 Belgrade, Serbia and Montenegro (Email: kocica@sezampro.yu).

The first 20% of the full text of this article appears below.


Figure 1
Dr Kocica


Intracardiac leiomyomatosis (ICL) is a rare and dangerous form of intravenous leiomyomatosis (IVL). 1-5 Go The case of ICL presented here depicts some diagnostic and surgical difficulties that may arise from the rarity and complexity of this condition. Further, to our best knowledge, neither the mass nor the growth rate of the abdominal part of the presented ICL has been described in the available literature. Finally, this case and extensive literature search allowed us to clarify some important questions pertaining to this entity.

Clinical Summary

A 36-year-old white woman (multigravid, biparous), who underwent a right salpingo-oophorectomy 7 years before admission, presented with a recurrent growing pelvic mass, dyspnea, fatigue, weight loss, ascites, leg swelling, and dysmenorrhea.

Abdominal and pelvic ultrasound revealed a right-sided, uterine adnexal tumor (5 x 11 cm) penetrating the inferior vena cava (IVC) (Figure 1, a). After a clinical episode of severe dyspnea, tachycardia, and syncope, echocardiography revealed the presence of a mass in the right atrium, originating from the IVC and protruding across the tricuspid valve throughout the cardiac cycle. The patient . . . [Full Text of this Article]




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