Metastasizing leiomyoma obstructing the right ventricular outflow tract

Miguel Ruben Abalo, John Carey, Oscar Aljure, Yiliam Rodriguez-Blanco

Research output: Contribution to journalArticlepeer-review

Abstract

A very loud systolic murmur was identified during a pre-operative evaluation of a 51-year-old woman for an elective hysterectomy. The TTE showed a 4.7 cm intracardiac mass obstructing the RVOT. The patient was scheduled instead for resection of the mass. Before anesthesia induction, the surgical team and perfusionist were prepared to initiate CPB in case of circulatory collapse. After induction of general anesthesia, the patient became hypotensive, requiring vasopressor support. She recovered and was then successfully placed on CPB. The mass was removed without incident, and a TEE confirmed resolution of the RVOT obstruction. The patient did well post-operatively.

Original languageEnglish (US)
Pages (from-to)518-520
Number of pages3
JournalAnnals of Cardiac Anaesthesia
Volume23
Issue number4
DOIs
StatePublished - Oct 1 2020

Keywords

  • Benign metastasizing leiomyoma
  • intracardiac mass
  • right ventricular outflow tract obstruction

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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