Successful One-Stage Resection of Intravenous Leiomyomatosis with Extension into the Main Pulmonary Artery

(Department of Surgery and Department of Obstetrics and Gynecology*, Shinshu University School of Medicine, Matsumoto, Japan)

Takehiko Furusawa Yuko Wada Tatsuichiro Seto
Tsuneo Nakajima Tamaki Takano Hiroto Kitahara
Tanri Shiozawa* Jun Amano
We report a case of successful one-stage resection of intravenous leiomyomatosis (IVL) with extension into the main pulmonary artery. The patient was a 50-year-old woman, who was admitted to our hospital with clinical signs of syncope. Computed tomography (CT) and 3D helical CT images showed a tumor arising in the left side of the uterus with extension into the pulmonary outflow tract. One-stage radical operation with cardiopulmonary bypass was performed. Because IVL is related to many fields concerning various organs, it is important that general surgeons, gynecologists and cardiovascular surgeons cooperate with each other.
@Jpn. J. Cardiovasc. Surg. 33: 98-101 (2004)