Multidisciplinary surgery for intravenous leiomyomatosis with inferior vena cava and/or intracardiac extension: a case series - Takeaways - MDSpire

Multidisciplinary surgery for intravenous leiomyomatosis with inferior vena cava and/or intracardiac extension: a case series

  • By

  • Feifeng Lin

  • Xia Liu

  • Bingqing Huang

  • Yunhong Lei

  • Jianjie Huang

  • Shuo Chen

  • Qiuling Fan

  • Zheng Chen

  • Minghong Shen

  • July 15, 2026

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  • 1

    The study analyzed 5 patients with intravenous leiomyomatosis extending into the inferior vena cava and/or heart from January 2016 to December 2024.

  • 2

    All patients had a history of uterine fibroids, with common symptoms including pelvic masses (80%) and abdominal distension (20%).

  • 3

    Surgery involved complete removal of pelvic and vascular/right atrial tumors, with a median blood loss of 800 mL during the procedure.

  • 4

    Postoperative complications included infections (60%) and incomplete intestinal obstruction (20%), with no recurrence observed during follow-up.

  • 5

    Multidisciplinary collaboration and accurate preoperative evaluation were crucial for the surgical management of this rare condition.

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