ABSTRACT
Intravenous leiomyomatosis is a very rare uterine neoplasm, characterized by histological benignity. In some cases, it could extend through the ovaric or iliac veins up to the vena cava and the right chambers of the heart. We report a patient with symptoms of right heart failure, who was diagnosed by transesophagic echocardiography of intravenous leiomyomatosis with extension to the right ventricle. Complete excision was achieved employing simultaneous sternotomy and laparotomy with echocardiographic intraoperative monitorization.
Subject(s)
Heart Neoplasms/secondary , Leiomyomatosis/pathology , Uterine Neoplasms/pathology , Echocardiography , Female , Heart Neoplasms/surgery , Humans , Leiomyomatosis/surgery , Middle AgedABSTRACT
The association of aortic coarctation and ischaemic cardiopathy is rare. We present a case of such an association in a 58-year-old patient with established spinal-cord damage and describe a one-stage surgical approach for the correction of both pathologies. Coarctation is solved by means of a supracoeliac to thoracic aortic bypass, and then coronary bypass grafting is performed under CPB. In this case grafts were carried out using the left internal mammary artery (IMA) even though it was hypertrophied. There were no postoperative complications and at 10 months the patient was asymptomatic.
