Unusual abdominal tumors with intracardiac extension. Two cases with successful surgical resection
Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo
;
54(5): 159-64, Sept.-Oct. 1999. ilus
Article
in English
| LILACS
| ID: lil-255572
ABSTRACT
Abdominal tumors that can grow through vascular lumen and spread to the right heart are rare. Although these tumors have different histologic aspects, they may cause similar abdominal and cardiac symptoms and are a serious risk factor for pulmonary embolism and sudden death when they reach the right atrium and tricuspid valve. The best treatment is radical surgical resection of the entire tumor using cardiopulmonary bypass with or without deep hypothermia and total circulatory arrest. We report the cases of two patients, the first with leiomyosarcoma of the inferior vena cava and the other with intravenous leiomyomatosis of the uterus that showed intravascular growth up to right atrium and ventricle, who underwent successful radical resection in a one-stage procedure with the use of cardiopulmonary bypass. We discuss the clinical and histologic aspects and imaging diagnosis and review the literature
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Uterine Neoplasms
/
Vena Cava, Inferior
/
Leiomyomatosis
/
Vascular Neoplasms
/
Leiomyosarcoma
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo
Journal subject:
Medicine
Year:
1999
Type:
Article
Affiliation country:
Brazil
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