Abstract

LESCAS MENDEZ, Octavio Augusto et al. Leiomyoma with intracardiac extensión leading to acute heart failure: (case report). Rev. Fac. Med. (Méx.) [online]. 2013, vol.56, n.6, pp.33-38. ISSN 2448-4865.

Cases of intravenous leiomyoma with intracardiac extension are rare. Patients with signs of right-sided overload who present symptoms of acute heart failure and whose symptoms do not improve with conventional management, we must consider this entity. It is important to comprehensively assess with imaging studies such as electrocardiogram, echocardiogram, Tomography (CT scan) or magnetic resonance. The following is a report of the case of a 46 year old woman with symptoms of acute heart failure and inadequate response to conventional drugs. The echocardiographic show findings of a tumor in the right atrium, protruding to the right ventricle causing tricuspid regurgitation. The CT scan confirmed the extent of the tumor to the inferior vena cava and right ventricle, and was resolved surgically with radical resection and histology lineage confirmed by pathologic examination.

Keywords : intravenous leiomyomatosis; acute heart failure; uterine neoplasia.

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