Leiomyosarcoma of the superior vena cava with extension to the right heart cavities

Authors

  • Miguel Emilio García-Rodríguez Universidad de Ciencias Médicas de Camagüey
  • Raúl Romay-Buitrago
  • Arian Benavides-Márquez
  • Elizabeth Ramírez-Reyes
  • Yudenia Toledo-Cabarcos
  • Manuel Alejandro Chávez-Chacón

Abstract

Background: the leiomyosarcoma of the superior cava vein is a rare illness and more when it extends to the cardiac cavities.
Objective: to present to the medical community a female patient with leiomyosarcoma of the superior cava vein that extended intraluminal form to the right cavities of the heart causing obstruction and cardiogenic shock.
Clinical case: a 45-year-old white female patient with no morbid health history, who presented redness of the face and exhaustion of the extremities when combing. A computerized axial tomography was performed where a lesion suggestive of thrombosis was identified. It was decided to transfer her to a specialized center, in which it is concluded that the patient was a carrier of a non-thrombotic tumor lesion, which turned out to be benign in a biopsy done for which follow-up is decided. The patient reenters in a state of cardiogenic shock due to progression of the disease, which is why her emergency surgical treatment is decided and die during surgery.
Conclusions: the leiomyosarcoma of the superior vena cava is a rare illness, with few reports in the literature. A case in which the tumor extended intraluminally to the right cardiac cavities (atrium and ventricle) is presented.

DeCS: LEIOMYOSARCOMA; SUPERIOR VENA CAVA SYNDROME; HEART ATRIA; HEART VENTRICLES; CASE REPORTS.

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References

1. Labarca E, Zapico A, Rios B, Martínez F, Santamarina M. Superior vena cava syndromedueto a leiomyosarcoma of the anterior mediastinum: A case report and literatura overview. Int J Surg Case Rep. 2014;5(12):984-7.

2. de Chaumont A, Pierret C, de Kerangal X, Le Moulec S, Laborde F. Leiomyosarcoma of the superior vena cava. Ann Thorac Surg. 2014 Aug;98(2):725-7.

3. Benvenuti M, Lorusso R, Gelsomino S, Benetti D, Pariscenti G, Borghesi A, et al. Resection of a primary leiomyosarcoma of the superior vena cava and right atrium on a beating heart. Int J Cardiol. 2011 Sep 15;151(3):e100-2.

4. Du J, Zhao X, Guo D, Li H, Sun B. Intravenous leiomyomatosis of the uterus: A clinic pathologic study of 18 cases, with emphasis on early diagnosis and appropriate treatment strategies. Hum Pathol. 2011;42:1240-1246.

5. Ibáñez Muñoz D, Riaguas Almenara A, Sota Ochoa P, Paradisi Chacon CE, Martínez Mombila E, Sarria Octavio de Toledo L. Leiomiosarcoma endovascular en vena cava inferior con síndrome de Budd-Chiari asociado: a propósito de un caso. Rev Arg Radiol. 2011;75(3):193-5.

6. Kandpal H, Sharma R, Gamangatti S, Srivastava DN, Ashish S. Imaging the Inferior Vena Cava: A Road Less Traveled. Radio Graphics. 2008;28:669-89.

7. Del Valle C, Rodríguez MD, García V, Zapico A. Leiomiomatosis benigna metatatizante: a propósito de un caso. Clin Invest Gin Obst. 2012;39(5):213-15.

8. Bargalló X, Gilabert R, Nicolau C, García-Pagán JC, Ayuso JR, Brú C. Sonography of Budd-Chiarisyndrome. AJR Am J Roentgenol. 2006;187:W33–W41.

9. Lescas Méndez OA, Huerta Rico PC, Cordero Reyes S, Castro Gutiérrez A, Salgado Alday ME, Conde Vázquez E, et al. Leiomioma con extensión intracardiaca que condiciona insuficiencia cardiaca aguda: Reporte de caso. Rev Fac Med (Méx.) [Internet]. 2013 Dic [citado 05 Mar 2019];56(6):[aprox. 6 p.]. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0026-17422013000900005&lng=pt

10. Guzmán NL, Dergal BE, Capurso GM, Hernánez VJ, Garmilla EJ. Leiomiomatosis intravenosa: Informe de una paciente. Cir Gen. 2000;22(3):236-241.

11. Ni B, Chen H, Chen M, Gong Q, Shao Y. Leiomioma intrapericárdico primario como causa de taquiarritmia auricular. Rev Esp Cardiol. 2017;70(11):1017-8.

12. Calzas J, Lianes P, Cortés-Funes H. Patología del corazón de origen extracardíaco (VII) Corazón y neoplasias. Rev Esp Cardiol [Internet]. 1998 [citado 05 Mar 2019];51(4):[aprox. 18 p.]. Disponible en: http://www.revespcardiol.org/es/patologia-del-corazon-origen-extracardiaco/articulo/271/.

13. Alvarado Arce EM, Odio Cortés D. Síndrome de vena cava superior: una emergencia médico quirúrgica. Rev Clín Esc Med UCR [Internet]. 2015 [citado 05 Mar 2019];5(1):[aprox. 11 p.]. Disponible en: https://revistas.ucr.ac.cr/index.php/clinica/article/view/18338/18526

14. Pérez Maure M, Subils G, Peresin Paz R, Cazaux A, Cambursano VH, Cortés JR. Síndrome de vena cava superior: forma inicial de presentacion en enfermedades neoplásicas. Rev Fac Cien Méd [Internet]. 2013 [citado 05 Mar 2019];70(4):[aprox. 6 p.]. Disponibler en: http://www.revista2.fcm.unc.edu.ar/2013.70.4/Casos.clinicos/sindrome.vena.cava.superior/Sindrome.de.vena.cava.superior.htm

15. Labbé J, Pumarino A, Valdivia G, Ibarra J, Merello L, Quiroz M. Tumor intracardíaco como presentación de leiomiomatosis intravascular. Rev Chil Cardiol [Internet]. 2014 [citado 05 Mar 2019];33(1):[aprox. 6 p.]. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0718-8560201400 0100009&lng=es

16. Barksdale J, Abolhoda A, Saremi F. Intravenous leiomyomatosis presenting as acute Budd-Chiari syndrome. J Vasc Surg. 2011;54(3):860-3.

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Published

2019-03-30

How to Cite

1.
García-Rodríguez ME, Romay-Buitrago R, Benavides-Márquez A, Ramírez-Reyes E, Toledo-Cabarcos Y, Chávez-Chacón MA. Leiomyosarcoma of the superior vena cava with extension to the right heart cavities. Arch méd Camagüey [Internet]. 2019 Mar. 30 [cited 2025 Aug. 9];23(2):256-63. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/6099

Issue

Vol. 23 No. 2 (2019)

Section

Case Reports

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