Orthostatic hypotension and right heart failure as the initial manifestation of intravenous leiomyomatosis

Author:

Li Ya-Qin,Yin Xiao-Ping,Xu Zhan-Wen

Abstract

AbstractA 36-year-old woman, who had a history of myomectomy, presented with lightheadedness after changing position from sitting to standing and effort-related shortness of breath. Echocardiography demonstrated a hyperechoic elongated mobile mass extending from the inferior caval vein to the right atrium. The mass was surgically removed, and histological examination established the diagnosis of intravenous leiomyomatosis. This case caught the attention of our cardiology group to consider the diagnosis when an inferior caval vein or right atrium mass is found in a patient with a history of uterine leiomyomatosis.

Publisher

Cambridge University Press (CUP)

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Pediatrics, Perinatology and Child Health

Reference5 articles.

1. Estrogen and progesterone expression of vessel walls with intravascular leiomyomatosis: discussion of histogenesis;Kir;Eur J Gynaecol Oncol,2004

2. Intravenous Leiomyomatosis With Extension to the Heart: Echocardiographic Features

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

4. GnRH agonist for intravenous leiomyomatosis with cardiac extension. A case report;Mitsuhashi;J Reprod Med,1999

5. Intravenous leiomyomatosis: report of two cases and strategy for surgical resection;Tielliu;Minerva Chir,2010

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