Leiomiomatosis intravenosa de origen pelviano con extensión intracardiaca. Reporte de dos casos.

Resumen

PELVIC INTRAVENOUS LEIOMYOMATOSIS WITH INTRACARDIAC EXTENSION. REPORT OF TWO CASES

Intravenous leiomyomatosis with extension into the heart is an infrequent entity described in 1907. Its clinical presentation is non-specific, although cardiac symptoms predominate. Diagnosis is based on clinical findings and appropriate imaging. We report two females, aged 35 and 51 years. One of them presented with a pelvic mass and dyspnea, the other patient had severe cardiac failure on admission. Computed axial tomography scan allowed an accurate preoperative diagnosis on both patients. Successful one stage resection of the tumor was performed under cardiopulmonary bypass. Both patients are asymptomatic on follow up at 6 months.