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2013, Number 6

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Rev Fac Med UNAM 2013; 56 (6)

Leiomyoma with intracardiac extensión leading to acute heart failure (case report)

Lescas MOA, Huerta RPC, Cordero RS, Castro GA, Salgado AME, Conde VE, Rojas GA, Ángeles CM
Full text How to cite this article

Language: Spanish
References: 7
Page: 33-38
PDF size: 245.16 Kb.


Key words:

intravenous leiomyomatosis, acute heart failure, uterine neoplasia.

ABSTRACT

Cases of intravenous leiomyoma with intracardiac extension are rare. Patients with signs of right-sided overload who present symptoms of acute heart failure and whose symptoms do not improve with conventional management, we must consider this entity. It is important to comprehensively assess with imaging studies such as electrocardiogram, echocardiogram, Tomography (CT scan) or magnetic resonance. The following is a report of the case of a 46 year old woman with symptoms of acute heart failure and inadequate response to conventional drugs. The echocardiographic show findings of a tumor in the right atrium, protruding to the right ventricle causing tricuspid regurgitation. The CT scan confirmed the extent of the tumor to the inferior vena cava and right ventricle, and was resolved surgically with radical resection and histology lineage confirmed by pathologic examination.


REFERENCES

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  2. Cho-Kai Wu. Intravenous Leiomyomatosis with Intracardiac Extension. Internal Medicine (Case report). Departmen of Internal Medicine. National Taiwan University College of Medicine and Hospital Yun –Lin Branch,Yun – Lin, Taiwan. Division of Cardiology, Department of Internal Medicine. 2009;48(12):997-1001.

  3. Ruiz-Nodar JM, Aguilar Torres R, Nieto S, et al. Leiomiomatosis intravenosa con extensión a cavidades cardíacas. Servicios de Cardiología, Anatomía Patológica y Cirugía Cardiovascular. Hospital Universitario de la Princesa. Madrid. Sección de Cardiología. Hospital Universitario de Guadalajara. Revista Española de Cardiología. 2005;58(10);1246- 8.

  4. Matsuno Fichigami A, Fernandez Ocampo JB, Ortiz Urtecho E, et al. Leiomioma Intratorácico Gigante Primitivo. Revista de la Sociedad Peruana de Neumología. 2004;48(2).

  5. Martínez Basilio-Mora. Leiomiomatosis intravenosa con extensión hasta arterias pulmonares y aneurismas pélvicos. Cardiocore. 2011;46(3):42-4.

  6. Ruiz Nodar Juan Miguel. Leiomiomatosis intravenosa con extensión a cavidades cardiacas. Rev Esp Cardiol. 1997;50(6):451-4.

  7. Rosenberg JM. Intravenous Leiomyomatosis: a rare cause of right sided cardiac obstruction. Division of Cardiopulmonary Surgery, Departmens of Surgery and of Cardiology, SUNY Health Science Center and Crouse Irving Memorial Hospital, Syracuse, NY,USA. Eur J Cardiothorac Surg (1988) 2 (1): 58-60.




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Rev Fac Med UNAM . 2013;56