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

  • Ya-Qin Li (a1), Xiao-Ping Yin (a2) and Zhan-Wen Xu (a1)

Abstract

A 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.

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Corresponding author

Correspondence to: Z.-W. Xu, Department of Cardiology, Affiliated Hospital of Hebei University, Yuhua Road 212, Baoding 071000, China. Tel: +86 13582216006; Fax: +86 03125981670; E-mail: dannyxzw@163.com

References

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1. Kir, G, Kir, M, Gurbuz, A, Karateke, A, Aker, F. Estrogen and progesterone expression of vessel walls with intravascular leiomyomatosis: discussion of histogenesis. Eur J Gynaecol Oncol 2004; 25: 362366.
2. Kocica, M, Vranes, M, Kostic, D, et al. Intravenous with extension to the heart: rare or underestimated. J Thorac Cardiovasc Surg 2005; 130: 17241726.
3. Fang, BR, Ng, YT, Yeh, CH. Intravenous leiomyomatosis with extension to the heart: echocardiographic features: a case report. Angiology 2007; 58: 376379.
4. Tielliu, IF, Otterman, ML, Meuzelaar, JJ, Zeebregts, CJ, Peeters, PM. Intravenous leiomyomatosis: report of two cases and strategy for surgical resection. Minerva Chir 2010; 65: 489493.
5. Mitsuhashi, A, Nagai, Y, Sugita, M, Nakajima, N, Sekiya, S. GnRH agonist for intravenous leiomyomatosis with cardiac extension. A case report. J Reprod Med 1999; 44: 883886.

Keywords

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

  • Ya-Qin Li (a1), Xiao-Ping Yin (a2) and Zhan-Wen Xu (a1)

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