Abstract
A 59 year old female was referred with a two month history of repetitive syncope. Echocardiography showed a 56 × 45 mm floating mass in the right atrium, initially described as atrial myxoma. However, contrast enhanced computed tomography revealed an extensive mass (A, red shading) emerging from a uterine tumour (violet arrow) that extended to the inferior vena cava (blue shading) via the right ovarian vein (white arrow), and then protruded into the right atrium (asterisk). Under extracorporeal circulation, the patient underwent a combined one stage procedure with thoraco-abdominal incision, including tumour resection, hysterectomy, and bilateral salpingo-oophorectomy (B). Pathological and hormonal analyses confirmed intravenous leiomyomatosis. Syncope diminished during the follow up.Image 1
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