Journal of Vascular Surgery
Volume 51, Issue 4 , Pages 1000-1002 , April 2010

The diagnosis, morphological particularities, and surgical technique in a case of intravascular leiomyoma extended to the right heart chambers

  • Zoltan Galajda, MD, PhD

      Affiliations

    • Department of Cardiac and Vascular Surgery, Medical and Health Science Center, University of Debrecen, Debrecen, Hungary
    • Corresponding Author InformationReprint requests: Zoltan Galajda, MD, PhD, Medical and Health Science Center, Departments of Cardiac and Vascular Surgery, Moricz Zsigmond St. 22, 4032 Debrecen, Hungary
    • ,
  • Constantin Copotoiu, MD, PhD

      Affiliations

    • First Surgical Clinic, Emergency Clinical Hospital of Targu Mures, Targu Mures, Romania
    • ,
  • Horatiu Suciu, MD, PhD

      Affiliations

    • Institute of Cardiovascular Diseases and Transplantation, Targu Mures, Romania
    • ,
  • Diana Tint, MD, PhD

      Affiliations

    • Cardiology Department, Faculty of Medicine, Transilvania University, Brasov, Romania
    • ,
  • Tibor Glasz, MD, PhD

      Affiliations

    • Second Department of Pathology, Faculty of Medicine, Semmelweis University, Budapest, Hungary
    • ,
  • Radu Deac, MD, PhD

      Affiliations

    • Institute of Cardiovascular Diseases and Transplantation, Targu Mures, Romania

Received 4 August 2009 ,Accepted 30 September 2009.

  • Image Result

    Inferior vena cava is opened and the tumor removed under cardiopulmonary bypass (CPB) assistance.

    Inferior vena cava is opened and the tumor removed under cardiopulmonary bypass (CPB) assistance.

  • Image Result

    Specimen morphology. A, The tumor is 29 cm length arising from left iliac vein to the right atrium. When sectioned transversally (B) and longitudinally (C), the tumor showed a lumen inside.

    Specimen morphology. A, The tumor is 29 cm length arising from left iliac vein to the right atrium. When sectioned transversally (B) and longitudinally (C), the tumor showed a lumen inside.

  • Image Result

    Immunohistochemistry aspects. A, Markers for smooth muscle demonstrate myogenic structure of the lesion (SMA, H-caldesmon, 100×). B, Immunohistochemstry against endothelium reveals a rich vascular con

    Immunohistochemistry aspects. A, Markers for smooth muscle demonstrate myogenic structure of the lesion (SMA, H-caldesmon, 100×). B, Immunohistochemstry against endothelium reveals a rich vascular content. (CD34, 100×). C, The proliferation marker denotes only scattered positivity (Ki67, 200×).

 Supported by the “TAMOP 4.2.2-08/1/KMR-2008-0004” research program for immunohistochemical investigations.

 Competition on interest: none.

 The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

PII: S0741-5214(09)02252-6

doi: 10.1016/j.jvs.2009.09.061

Journal of Vascular Surgery
Volume 51, Issue 4 , Pages 1000-1002 , April 2010

Article Tools

* Image Usage & Resolution