Kutay Veysel, Tuncer Mustafa, Harman Mustafa, Ekim Hasan, Yakut Cevat
Cardiovascular Surgery Clinic, Yuzuncu Yil University, Van, Turkey.
Tex Heart Inst J. 2005;32(2):232-4.
Intravenous leiomyoma with intracaval and intracardiac extension is a rare benign neoplasm affecting women. We report a case in which an intravenous leiomyoma originated from the right iliac vein and extended through the inferior vena cava into the right atrium. The correct diagnosis was made intraoperatively, after resection of the intracardiac extension of the tumor, which was 28 cm in length. At the 2nd stage of the operation, a right common iliac venotomy enabled the removal of all residual tumor from the inferior vena cava.
伴有腔静脉及心内延伸的静脉内平滑肌瘤是一种罕见的女性良性肿瘤。我们报告一例静脉内平滑肌瘤起源于右髂静脉并经下腔静脉延伸至右心房的病例。术中在切除长度为28 cm的肿瘤心内延伸部分后做出了正确诊断。在手术的第二阶段,右髂总静脉切开术使得能够从下腔静脉清除所有残留肿瘤。