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Surgical strategy for intravenous leiomyomatosis spreading from uterine to the right atrium presenting with recurrent syncope

  • Gengxu He,
  • Tong Yao,
  • Lei Zhao,
  • Hong Geng,
  • Qiang Ji,
  • Kun Zuo,
  • Yuanzhi Luo,
  • Kai Zhou

摘要

Uterine leiomyoma invading internal iliac vein and consequently disseminating into the right atrium is an extremely rare condition, and surgical strategy is controversial. Here, we reported a specific case with successful surgical resection through one-stage total hysterectomy, bilateral oophorectomy, and the intracardiovascular lesion. This procedure would be an optimal choice for uterine leiomyoma invading inferior vena cava and spreading to right atrium.