Department of Cardiovascular Surgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Abstract
CASE PRESENTATION Metastatic cardiac masses have different primary sites. On rare occasions, uterine tumors are responsible for such masses. We herein describe a woman with a metastatic cardiac mass originating from a benign uterine leiomyoma. The patient had severe and chronic abnormal uterine bleeding, for which she finally referred to our hospital. On admission, she had acute respiratory distress. Echocardiography showed a huge right atrial mass that had occupied most of this atrial space. The mass originated from the inferior vena cava (IVC) and extended across the tricuspid valve to the right ventricle. The mass was successfully resected under cardiopulmonary bypass. Subsequent evaluations, including a pathologic examination, revealed a metastatic uterine leiomyoma extending to the right atrium after invasion into the IVC. (Iranian Heart Journal 2020; 21(3): 145-149)
Hoffmeier A, Sindermann JR, Scheld HH, Martens S. Cardiac Tumors--diagnosis and surgical treatment. Dtsch Arztebl Int. 2014 Mar 21;111(12):205–11
Rahbar K, Seifarth H, Schäfers M, Stegger L, Hoffmeier A, Spieker T, et al. Differentiation of malignant and benign cardiac tumors using 18F-FDG PET/CT. J Nucl Med. 2012;53(6):856–63
Goldberg A, Blankstein R, Padera R. Tumors metastatic to the heart. Circulation. 2013; 128(16):1790–4.
Aerts B, Kock M, Kofflard M, Plaisie P. Cardiac metastasis of malignant melanoma: a case report. Neth Heart J. 2014; 22(1):39–41.
Reyner K, Kockeritz U, Strasser R. Metastases to the heart. Ann Oncol. 2004;15(3):375–81
Hoseinikhah H, Sheybani S, Imanirad N, Pirzadeh A, Moeinipour A. Successful Surgical Resection of Metastatic Renal Cell Carcinoma to the Inferior Vena Cava and the Right Atrium: A Case Presentation. Iranian Heart Journal 2017; 18(2):50-52
Taghavi F, Markar S, Williams M, Large S. Intra-cardiac metastasis from testicular non-seminoma germ cell tumor; to resect or not to resect. Interact Cardiovasc Thorac Surg. 2010;11(6):843–5
Kasai T, Kishi K, Kawabata M, Narui K, Momomura S, Yoshimura K. Cardiac metastasis from lung adenocarcinoma causing atrioventricular block and left ventricular outflow tract obstruction. Chest. 2007;131:1569–72.
Patel A, Herfel B, Metastatic NM. Colon cancer involving the right atrium. Tex Heart Inst J. 2012;39(1):79–83
Hall R, Cooley D, Jr MAH, Frazier O, Neoplastic O’RA. Heart disease. In: Fuster V, Alexander RW, O’Rourke RA, Roberts R, King SB, Prystowsky EN, et al., editors. Hurst’s the heart. 11th ed. New York: McGraw-Hill; 2004. p. 2081–96.
Bussani R, De-Giorgio F, Abbate A, Silvestri F. Cardiac metastases.J Clin Pathol. 2007; 60:27–34
Yusuf SW, Bathina JD, Qureshi S, Kaynak HE, Banchs J, Trent JC, Ravi V, Daher IN, Swafford J. Cardiac tumors in a tertiary care cancer hospital: clinical features, echocardiographic findings, treatment and outcomes.Heart Int. 2012; 7:e4
Reynen K, Köckeritz U, Strasser RH. Metastases to the heart.Ann Oncol. 2004; 15:375–381
Butany J, Nair V, Naseemuddin A, Nair GM, Catton C, Yau T. Cardiac tumours: diagnosis and management.Lancet Oncol. 2005; 6:219–228
Hoseinikhah, H., Sheybani, S., Ghodsi, M., & Moeinipour, A. (2020). Uterine Leiomyoma Extending to the Inferior Vena Cava and the Right Atrium. Iranian Heart Journal, 21(3), 136-140.
MLA
Hamid Hoseinikhah; Shima Sheybani; Majid Ghodsi; Aliasghar Moeinipour. "Uterine Leiomyoma Extending to the Inferior Vena Cava and the Right Atrium". Iranian Heart Journal, 21, 3, 2020, 136-140.
HARVARD
Hoseinikhah, H., Sheybani, S., Ghodsi, M., Moeinipour, A. (2020). 'Uterine Leiomyoma Extending to the Inferior Vena Cava and the Right Atrium', Iranian Heart Journal, 21(3), pp. 136-140.
VANCOUVER
Hoseinikhah, H., Sheybani, S., Ghodsi, M., Moeinipour, A. Uterine Leiomyoma Extending to the Inferior Vena Cava and the Right Atrium. Iranian Heart Journal, 2020; 21(3): 136-140.
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