PMC3804365_01
(a) Preoperative computed tomography scan reveals intracaval filling defects extending between the left iliac vein and the right atrium. (b) Postoperative computed tomography scan in the 4th month of followup reveals excellent patency of vascular structures and no recurrence of tumor.
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fig1
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 (Figure 1(a)). Followup of the patient in the 4th month revealed an excellent patency of vascular structures and no recurrence of tumor at the control computed tomography scan (Figure 1(b)).
Gross specimen of the tumor removed from the right atrium and inferior vena cava (bottom), uterine and ovarian component (upper side).
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fig2
Following the institution of deep hypothermia and total circulatory arrest, intracardiac and intravenous masses were removed out by cardiac surgeons (Figure 2).