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. 1982 Jun;9(2):231–235.

Tricuspid Stenosis due to Intravenous Leiomyomatosis—A Call for Caution: Case Report and Review of the Literature

Moshe Nili 1, Erich Liban 1, Morris J Levy 1
PMCID: PMC351617  PMID: 15226964

Abstract

Extension of a benign intravenous leiomyomatous tumor from the pelvis into the right atrium resulted in severe tricuspid stenosis in a 28-year-old woman. Absence of the Budd-Chiari syndrome and other abdominal manifestations led to a misdiagnosis of a primary right atrial tumor, with a fatal outcome during operation. In our search of the English literature, this was only the second case found in which extensive intravenous leiomyomatosis interfered with the tricuspid valve mechanism. In this report, the clinical picture, etiology, and treatment are discussed, along with the literature on this rare entity.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abell M. R., Littler E. R. Benign metastasizing uterine leiomyoma. Multiple lymph nodal metastases. Cancer. 1975 Dec;36(6):2206–2213. doi: 10.1002/cncr.2820360938. [DOI] [PubMed] [Google Scholar]
  2. BORLAND D. S., WOTRING J. W. INTRAVENOUS LEIOMYOMATOSIS OF THE UTERUS AND BROAD LIGAMENT. REPORT OF A CASE. Am J Clin Pathol. 1964 Aug;42:182–188. doi: 10.1093/ajcp/42.2.182. [DOI] [PubMed] [Google Scholar]
  3. Boyce C. R., Buddhdev H. N. Pregnancy complicated by metastasizing leiomyoma of the uterus. Obstet Gynecol. 1973 Aug;42(2):252–258. [PubMed] [Google Scholar]
  4. Brewster D. C., Athanasoulis C. A., Darling R. C. Leiomyosarcoma of the inferior vena cava. Diagnosis and surgical management. Arch Surg. 1976 Oct;111(10):1081–1085. doi: 10.1001/archsurg.1976.01360280039006. [DOI] [PubMed] [Google Scholar]
  5. Bulkley H., Weiss J. L. Atrial myxomas: triumph of machine over man. Chest. 1979 May;75(5):537–539. doi: 10.1378/chest.75.5.537. [DOI] [PubMed] [Google Scholar]
  6. Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 17-1971. N Engl J Med. 1971 Apr 29;284(17):967–974. doi: 10.1056/NEJM197104292841711. [DOI] [PubMed] [Google Scholar]
  7. Clark D. H., Weed J. C. Metastasizing leiomyoma: a case report. Am J Obstet Gynecol. 1977 Mar 15;127(6):672–673. doi: 10.1016/0002-9378(77)90373-8. [DOI] [PubMed] [Google Scholar]
  8. Donahoo J. S., Weiss J. L., Gardner T. J., Fortuin N. J., Brawley R. K. Current management of atrial myxoma with emphasis on a new diagnostic technique. Ann Surg. 1979 Jun;189(6):763–768. doi: 10.1097/00000658-197906000-00013. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Edwards D. L., Peacock J. F. Intravenous leiomyomatosis of the uterus. Report of 2 cases. Obstet Gynecol. 1966 Feb;27(2):176–181. [PubMed] [Google Scholar]
  10. HARPER R. S., SCULLY R. E. Intravenous leiomyomatosis of the uterus. A report of four cases. Obstet Gynecol. 1961 Nov;18:519–529. [PubMed] [Google Scholar]
  11. MARSHALL J. F., MORRIS D. S. Intravenous leiomyomatosis of the uterus and pelvis: case report. Ann Surg. 1959 Jan;149(1):126–134. doi: 10.1097/00000658-195901000-00017. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Miller J. N., Jr Pregnancy complicated by intravenous leiomyomatosis. Am J Obstet Gynecol. 1975 Jun 15;122(4):485–489. doi: 10.1016/s0002-9378(16)33541-4. [DOI] [PubMed] [Google Scholar]
  13. Mukherjee S. K. Intravenous leiomyomatosis; Diagnosis and management. N Y State J Med. 1979 Nov;79(12):1905–1908. [PubMed] [Google Scholar]
  14. Norris H. J., Parmley T. Mesenchymal tumors of the uterus. V. Intravenous leiomyomatosis. A clinical and pathologic study of 14 cases. Cancer. 1975 Dec;36(6):2164–2178. doi: 10.1002/cncr.2820360935. [DOI] [PubMed] [Google Scholar]
  15. STEINER G., WARREN J. W., JUDD A. S. INTRAVENOUS LEIOMYOMATOSIS. A CASE REPORT. Am J Obstet Gynecol. 1963 Sep 15;87:166–168. doi: 10.1016/0002-9378(63)90492-7. [DOI] [PubMed] [Google Scholar]
  16. Scharfenberg J. C., Geary W. L. Intravenous leiomyomatosis. Obstet Gynecol. 1974 Jun;43(6):909–914. [PubMed] [Google Scholar]
  17. Sprio R. H., McPeak C. J. On the so-called metastasizing leiomyoma. Cancer. 1966 Apr;19(4):544–548. doi: 10.1002/1097-0142(196604)19:4<544::aid-cncr2820190412>3.0.co;2-m. [DOI] [PubMed] [Google Scholar]
  18. THOMPSON J. W., 3rd, SYMMONDS R. E., DOCKERTY M. B. Benign uterine leiomyoma with vascular involvement. Report of 3 cases. Am J Obstet Gynecol. 1962 Jul 15;84:182–186. doi: 10.1016/0002-9378(62)90423-4. [DOI] [PubMed] [Google Scholar]
  19. Wray R. C., Jr, Dawkins H. Primary smooth muscle tumors of the inferior vena cava. Ann Surg. 1971 Dec;174(6):1009–1018. doi: 10.1097/00000658-197112000-00021. [DOI] [PMC free article] [PubMed] [Google Scholar]

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