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KMID : 0904020120280020088
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Journal of Korean Society for Vascular Surgery
2012 Volume.28 No. 2 p.88 ~ p.91
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Successful One-stage Transabdominal Excision of Intravenous Leiomyomatosis with Extension into the Right Atrium
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Park Tae-Jin
Min Seung-Kee
Park Dae-Do
Ahn Sang-Hyun
Kim Suh-Min
Min Sang-Il
Ha Jong-Won
Kim Sang-Joon
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Abstract
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Intravenous leiomyomatosis is a rare benign tumor originating from the uterus that spreads through vessels. In rare cases, intracaval and intracardiac involvement has been described. We report a case of a 64-year-old woman who presented intravenous leiomyomatosis, which originated from the right uterine vein and extended through the inferior vena cava into the right atrium. The tumor was completely removed through a one-stage transabdominal approach with transesophageal echocardiography monitoring. Sparing thoracotomy is important in order to reduce postoperative morbidity and tumor removal by pulling down was technically possible without the risk of embolization.
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KEYWORD
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Intravenous leiomyomatosis, Heart atria, Transabdominal approach
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