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Unusual abdominal tumors with intracardiac extension. Two cases with successful surgical resection
Stolf, Noedir A. G; Santos, Gilmar Geraldo dos; Haddad, Victor L. S.
  • Stolf, Noedir A. G; University of São Paulo. School of Medicine.
  • Santos, Gilmar Geraldo dos; Beneficiência Portuguesa Hospital.
  • Haddad, Victor L. S; Beneficiência Portuguesa Hospital.
Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo ; 54(5): 159-64, Sept.-Oct. 1999. ilus
Artículo en Inglés | 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
Asunto(s)
Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Neoplasias Uterinas / Vena Cava Inferior / Leiomiomatosis / Neoplasias Vasculares / Leiomiosarcoma Tipo de estudio: Estudio diagnóstico / Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Femenino / Humanos / Masculino Idioma: Inglés Revista: Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo Asunto de la revista: Medicina Año: 1999 Tipo del documento: Artículo País de afiliación: Brasil

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Neoplasias Uterinas / Vena Cava Inferior / Leiomiomatosis / Neoplasias Vasculares / Leiomiosarcoma Tipo de estudio: Estudio diagnóstico / Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Femenino / Humanos / Masculino Idioma: Inglés Revista: Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo Asunto de la revista: Medicina Año: 1999 Tipo del documento: Artículo País de afiliación: Brasil