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This article has been retracted as it is found to contain a substantial amount of material, without referencing, from the published article titled “Surgical management of intravenous leiomyoma with cardiac extension. Do we need total circulatory arrest?,” by S. Senay, U. Kaya, H. Cagil, F. Demirkiran, C. Alhan, The Thoracic and Cardiovascular Surgeon 2007; 55(5): 322-323. DOI: 10.1055/s-2007-964953. Also, the article was submitted for publication by Veysel Sal without the knowledge and approval of the coauthors Umit Kaya and Cem Alhan.

Case Reports in Obstetrics and Gynecology
Volume 2013 (2013), Article ID 602407, 3 pages
Case Report

Intravenous Leiomyoma with Extension to the Heart: A Case Report and Review of the Literature

1Division of Gynecologic Oncology, Department of Gynecology and Obstetrics, Cerrahpasa Medical Faculty, Istanbul University, 34303 Istanbul, Turkey
2Obstetrics and Gynecology Department, Acıbadem Kadıkoy Hospital, Istanbul, Turkey
3Cardiovascular Surgery Department, Acıbadem Kadıkoy Hospital, Istanbul, Turkey

Received 8 July 2013; Accepted 11 September 2013

Academic Editors: K. Dafopoulos, M. Furuhashi, K. Nasu, and B. Piura

Copyright © 2013 Fuat Demirkiran et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. Intravenous leiomyomatosis with cardiac extension is an extremely rare uterine tumor. We report here a case of intravenous leiomyoma extending to the right atrium, diagnosed in a patient having leiomyoma. Case Presentation. A 39-year-old woman with no symptoms and a past medical history of two myomectomy operations (7 and 3 years previously) was admitted to our clinic for routine control. We detected a uterine fibroid of 8 centimeters and 4 small solid masses of 1-2 centimeters near the uterus and ovaries at vaginal ultrasonography. Computed tomography (CT) was performed to investigate the abdominal cavity. It revealed a mass originating from the left common iliac vein, which invaded the inferior vena cava (IVC) and extended to the right atrium in addition to the uterine fibroids and pelvic masses. The operation was performed with a combined team of gynecologists and cardiac surgeons and a one-stage operation was accomplished. The postoperative course was uneventful. Conclusion. Abdominal CT is a useful imaging technique for the diagnosis of unusual pathology in a patient with uterine fibroid having suspicious pelvic masses. Also, when a right atrial mass is identified in a female with a prior history of hysterectomy because of leiomyoma or in whom there is a uterine myoma, then intravenous leiomyomatosis should be considered.