UTERINE SMOOTH MUSCLE TUMOR OF UNCERTAIN MALIGNANT POTENTIAL (STUMP) EXTENDING VIA THE INFERIOR VENA CAVA INTO THE RIGHT ATRIUM

Parsaee, M.; Nikparvar, M.; . Mozzafari, K; Sadrameli, MA.; Sadeghpour Tabaee, A.; Saeidi, M.

UTERINE SMOOTH MUSCLE TUMOR OF UNCERTAIN MALIGNANT POTENTIAL (STUMP) EXTENDING VIA THE INFERIOR VENA CAVA INTO THE RIGHT ATRIUM

Authors

M. Parsaee ¹

M. Nikparvar ²

K . Mozzafari ³

MA. Sadrameli ⁴

A. Sadeghpour Tabaee ⁵

M. Saeidi ⁶

¹ Assistant Professor of Cardiology, Rajaei Cardiovascular, Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran

² Assistant Professor of Cardiology, Bandarabas University of Medical Sciences, Bandarabas, Iran

³ Assistant Professor of Pathology, Rajaei Cardiovascular, Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran

⁴ Professor of Cardiology, Rajaei Cardiovascular, Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran

⁵ Assistant Professor of Cardiac Surgery, Rajaei Cardiovascular, Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran

⁶ Fellowship of Cardiac Surgery, Rajaei Cardiovascular, Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran

Abstract

We present a 29-year-old female, who was hospitalized because of dyspnea and generalized edema. The patient had a history of splenectomy due to resistant idiopathic thrombocytopenia purpura (ITP) and also a history of smooth muscle tumor of the uterus with uncertain malignant potential (STUMP). Echocardiography revealed large pericardial effusion and an elongated mass inside the inferior vena cava and right atrial cavity. The patient underwent only cardiac surgery procedure under monitoring by trans esophageal echocardiography. The inferior vena cava and right atrium were exposed and the large mass was removed. Histological examination revealed a spindle cell tumor.

Keywords

CARDIAC TUMOR

UTERUS LEIOMYOMA

TRANS ESOPHAGEAL ECHOCARDIOGRAPHY

INFERIOR VENA CAVA