artículo
Pelvic intravenous leiomyomatosis with intracardiac extension. Report of two cases
Fecha
2012Registro en:
10.4067/S0034-98872012000700012
0717-6163
0034-9887
MEDLINE:23282704
WOS:000308280100012
Autor
Mertens, Renato
Valdes, Francisco
Munoz, Cecilia
Irarrazaval, Manuel
Branes, Jorge
Riquelme, Carlos
Marine, Leopoldo
Bergoeing, Michel
Kraemer, Albrecht
Institución
Resumen
Intravenous leiomyomatosis with extension into the heart is an infrequent entity described in 1907. Its clinical presentation is non-specific, although cardiac symptoms predominate. Diagnosis is based on clinical findings and appropriate imaging. We report two females, aged 35 and 51 years. One of them presented with a pelvic mass and dyspnea, the other patient had severe cardiac failure on admission. Computed axial tomography scan allowed an accurate preoperative diagnosis on both patients. Successful one stage resection of the tumor was performed under cardiopulmonary bypass. Both patients are asymptomatic on follow up at 6 months and 25 years. (Rev Med Chile 2012; 140: 906-909).