Leiomyosarcoma of the inferior vena cava extending into the right atrium
| Autor: | J. Reponova, G. Etzrodt, G. Muth, G. Oltmanns, W.A. Kaiser, D. Stippel, M Ortmann, H.-C. Reich, T. Wahlers, O. Mutschke, U. Lotze |
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| Rok vydání: | 2012 |
| Předmět: |
Leiomyosarcoma
medicine.medical_specialty Aortography Vena Cava Inferior Inferior vena cava Heart Neoplasms Lesion Fatal Outcome medicine Humans Neoplasm Invasiveness Heart Atria medicine.diagnostic_test business.industry Magnetic resonance imaging Middle Aged medicine.disease Surgery medicine.anatomical_structure medicine.vein cardiovascular system Abdomen Female Radiology medicine.symptom Differential diagnosis Cardiology and Cardiovascular Medicine business Infiltration (medical) |
| Zdroj: | Herz. 37:573-578 |
| ISSN: | 1615-6692 0340-9937 |
| DOI: | 10.1007/s00059-011-3580-y |
| Popis: | A 54-year-old female patient presented with a progressive and deteriorating dyspnea at the slightest exertion in particular during the past few days before presentation. Transthoracic echocardiography revealed a large space-occupying lesion in the right atrium extending into the inferior vena cava (IVC). Abdominal magnetic resonance aortography showed an elongated space-occupying lesion in the IVC with a significant portion of the tumor and almost completely filling the right atrium accompanied by an infiltration of the hepatic and renal veins. A pronounced tumor infiltration of the IVC at the level of the liver was confirmed intraoperatively and immunohistochemical analysis showed a moderate to poorly differentiated leiomyosarcoma. The extended tumor was successfully removed by a complex operation of the thorax and abdomen but the procedure was accompanied by severe bleeding. A few hours following the procedure the patient died due to a further episode of irreversible intra-abdominal hemorrhage. |
| Databáze: | OpenAIRE |
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