RESUMO
Intravenous leiomyomatosis is a rare tumor arising either from a uterine leiomyoma or from uterine vessel walls with extension into venous channels. Although intravenous leiomyomatosis is considered histologically "benign," intrusion to the cardiac chambers is almost malignant given its possibility for destruction of heart valves, extending into the pulmonary vasculature, and embolizing. We report a patient with an intravenous leiomyomatosis progressing through the left iliac vein, along the entire vena cava up to the right cardiac chambers and branches of pulmonary artery (PA), and review the literature on this subject.
Assuntos
Veia Ilíaca/patologia , Leiomiomatose/patologia , Artéria Pulmonar/patologia , Neoplasias Uterinas/patologia , Neoplasias Vasculares/patologia , Veias Cavas/patologia , Adulto , Feminino , Humanos , Veia Ilíaca/diagnóstico por imagem , Leiomiomatose/diagnóstico por imagem , Artéria Pulmonar/diagnóstico por imagem , Radiografia , Neoplasias Uterinas/diagnóstico por imagem , Neoplasias Vasculares/diagnóstico por imagem , Veias Cavas/diagnóstico por imagemRESUMO
Successful surgical management of a case of congenital aneurysm of the left sinus of Valsalva involving the left main coronary artery has been reported. To our knowledge, this is the first report describing an unusual case of congenital aneurysm of the left sinus of Valsalva, which involves the left main coronary artery.