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Orthostatic hypotension and right heart failure as the initial manifestation of intravenous leiomyomatosis

Published online by Cambridge University Press:  18 August 2015

Ya-Qin Li ,
Xiao-Ping Yin  and
Zhan-Wen Xu
Ya-Qin Li
Affiliation:
Department of Cardiology, Affiliated Hospital of Hebei University, Baoding, China
Xiao-Ping Yin
Affiliation:
Department of Radiology, Affiliated Hospital of Hebei University, Baoding, China
Zhan-Wen Xu*
Affiliation:
Department of Cardiology, Affiliated Hospital of Hebei University, Baoding, China
*
Correspondence to: Z.-W. Xu, Department of Cardiology, Affiliated Hospital of Hebei University, Yuhua Road 212, Baoding 071000, China. Tel: +86 13582216006; Fax: +86 03125981670; E-mail: dannyxzw@163.com
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Abstract

A 36-year-old woman, who had a history of myomectomy, presented with lightheadedness after changing position from sitting to standing and effort-related shortness of breath. Echocardiography demonstrated a hyperechoic elongated mobile mass extending from the inferior caval vein to the right atrium. The mass was surgically removed, and histological examination established the diagnosis of intravenous leiomyomatosis. This case caught the attention of our cardiology group to consider the diagnosis when an inferior caval vein or right atrium mass is found in a patient with a history of uterine leiomyomatosis.

Keywords

Intravenous leiomyomatosisorthostatic hypotensionright heart failure
Type
Brief Reports
Information
Cardiology in the Young , Volume 26 , Issue 3 , March 2016 , pp. 586 - 588
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Copyright
© Cambridge University Press 2015 

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References

1. Kir, G, Kir, M, Gurbuz, A, Karateke, A, Aker, F. Estrogen and progesterone expression of vessel walls with intravascular leiomyomatosis: discussion of histogenesis. Eur J Gynaecol Oncol 2004; 25: 362–366.Google ScholarPubMed
2. Kocica, M, Vranes, M, Kostic, D, et al. Intravenous with extension to the heart: rare or underestimated. J Thorac Cardiovasc Surg 2005; 130: 1724–1726.CrossRefGoogle ScholarPubMed
3. Fang, BR, Ng, YT, Yeh, CH. Intravenous leiomyomatosis with extension to the heart: echocardiographic features: a case report. Angiology 2007; 58: 376–379.CrossRefGoogle Scholar
4. Tielliu, IF, Otterman, ML, Meuzelaar, JJ, Zeebregts, CJ, Peeters, PM. Intravenous leiomyomatosis: report of two cases and strategy for surgical resection. Minerva Chir 2010; 65: 489–493.Google ScholarPubMed
5. Mitsuhashi, A, Nagai, Y, Sugita, M, Nakajima, N, Sekiya, S. GnRH agonist for intravenous leiomyomatosis with cardiac extension. A case report. J Reprod Med 1999; 44: 883–886.Google ScholarPubMed