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2013, Number 4

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Acta Med 2013; 11 (4)

Anesthetic management of intravenous leiomyomatosis extending to heart chambers

Rojas JRA, Morales CM,Urióstegui RA
Full text How to cite this article

Language: Spanish
References: 9
Page: 183-187
PDF size: 199.86 Kb.


Key words:

Intravenous leiomyomatosis, cardiac surgery, anesthetic management, cardiopulmonary bypass.

ABSTRACT

Intravenous leiomyomatosis is a rare disease, extending through the inferior vena cava to the right heart chambers. This is a benign tumor which can has serious consequences for their ability to extension to right heart chambers. The first report is by Birch-Hirschfield in 1897. Female is 45 years with a history of uterine leiomyoma three years ago merited treatment with hysterectomy. Consulting for chest pain oppressive present current 6/10, with vagal and adrenergic discharge for a period of 10 min. Which is accompanied by diaphoresis, Echocardiogram was performed, which reported a tumor in the IVC extending to right heart chambers. A case cardiovascular surgery and is scheduled for thoracic and abdominal surgery.


REFERENCES

  1. Birch-Hirschfeld FV. Lehrbuch der pathologischen anatomie. 5 ed. Vogel, Leipzig; 1896. p. 226.

  2. Durck H. Uber ein kontinuierlich durch die untere hohlvene in das herz verwachsendes fibromyom des uterus. Munch Med Wochenschr. 1907; 54: 1155.

  3. Careaga R, Vélez P y cols. Leiomioma invasor a cavidades cardiacas. Reporte de un caso y revisión de la literatura. Rev Mex Cardiol. 2008; 19(1): 30-38.

  4. Clement PB. Intravenous leiomyomatosis of the uterus. Pathol Annu. 1988; 23: 153-183.

  5. Rotter A, Lundell C. MR of intravenous leiomyomatosis of the uterus extending in to the inferior vena cava. J Comput Assist Tomogr. 1991; 15: 690-693.

  6. Stancanell B, Seminara G, Vita A. Extension of a pelvic tumor into the righ atrium. New Engl J Med. 1995; 333: 1013-1014.

  7. Evans AT, Symmonds RE. Recurrent pelvic intravenous leiomyomatosis. Obstet Gynecol. 1981; 57: 260-264.

  8. Kutay V, Tuncer M, Harman M, Ekim H, Yakut C. Intracardiac extension of intravenous leiomyoma. Case Reports. Tex Heart Inst J. 2005; 32: 232-234.

  9. Gan HL, Zhang JQ, Bo P. The Classification and surgical strategy of intracardiac leiomyomatosis. Asian J Surg. 2009; 32(3): 129-136.




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Acta Med. 2013;11