Surgical Treatment of Intracardiac-Extending Intravenous Leiomyomatosis: A Single Center Experience

  • Yang Li Department of Cardiovascular Surgery, General Hospital of Beijing Military Region, Beijing
  • Nan Yang Department of Stomatology, 309th Hospital of PLA, Beijing
  • Long Lu Department of Cardiovascular Surgery, General Hospital of Beijing Military Region, Beijing
  • Fengxia Ma Department of Cardiovascular Surgery, General Hospital of Beijing Military Region, Beijing
  • Jianmin Yao Department of Cardiovascular Surgery, General Hospital of Beijing Military Region, Beijing

Abstract

Background: Few data were known on surgical management of intracardiac-extending in patients with intravenous leiomyomatosis (IVL).
Methods: From June 2007 to December 2014, six women (mean age, 39.3 ± 7.5 years; range, 24-55 years) with intracardiac-extending IVL were treated surgically at our hospital. Data were obtained from medical and pathological records, including characteristics of patients, surgical management, and follow-up.
Results: Surgery was performed successfully in all patients. Of 6 patients, 4 underwent one-stage operation and 2 underwent two-stage procedures. Circulatory arrest with hypothermia was used for a cardiotomy combined with venotomy in
5 patients. Complete resection was done in 5 patients. There were no perioperative deaths or complications in any of the patients. Hospital stay was 11.2 ± 2.9 days (range 7-15 days). All patients were followed-up for a mean of 41.0 ± 19.1 months (range, 17-69 months) after surgery. A recurrence of pelvic mass was found in 1 patient, but no symptoms or intravenous mass were reported. No obstruction occurred in any patient with a venotomy.
Conclusion: Surgery is a better therapy for IVL and complete removal has favorable outcomes.

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Published
2016-05-09
How to Cite
Li, Y., Yang, N., Lu, L., Ma, F., & Yao, J. (2016). Surgical Treatment of Intracardiac-Extending Intravenous Leiomyomatosis: A Single Center Experience. The Heart Surgery Forum, 19(3), E094-E096. https://doi.org/10.1532/hsf.1362
Section
Articles