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Eur J Cardiothorac Surg 2001;19:522-524
© 2001 Elsevier Science NL

Case report

Role of pre-operative assessment in the surgical management of leiomyoma extended to the right heart chambers: a compendium of information from isolated reports

^a Department of Cardiac Surgery, Fort de France University Hospital, 97200 Fort de France, Martinique
^b Department of Cardiovascular Anaesthesiology, Fort de France University Hospital, 97200 Fort de France, Martinique
^c Clinical Pathology Laboratory, Fort de France University Hospital, 97200 Fort de France, Martinique

Received 18 August 2000; received in revised form 10 January 2001; accepted 25 January 2001.

Corresponding author. Tel.: +596-552-271; fax: +596-758-438
e-mail: f.r.fwi{at}wanadoo.fr

Recurrent intravenous leiomyoma extending to the right heart chambers is extremely rare. A large range of surgical techniques and approaches (i.e. two-step procedure, hypothermia and circulatory arrest) have been previously described. We report a recent case where the tumour was excised in a one-step procedure under normothermic cardiopulmonary bypass. This report associated to a comprehensive literature review allows us to discuss the role of pre-operative assessment and to propose refinement of surgical techniques according to the anatomy of the tumour.

Key Words: Heart neoplasms • Leiomyomatosis • Uterine neoplasms • Vascular neoplasms • Vena cava inferior

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