{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:04:17Z","timestamp":1753877057195,"version":"3.41.2"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T00:00:00Z","timestamp":1732060800000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Intravascular leiomyoma (IVL) with intracardiac extension (ICE) represents an exceedingly rare diagnosis of a cardiac mass. We present the case of a 42-year-old woman with recurrent syncopal episodes. Cardiac investigations revealed an extensive, mobile mass stretching from the inferior vena cava (IVC) through the right heart to the bifurcation of the pulmonary artery. Emergent surgery was conducted to excise the mass. Post-operative assessment indicated a potential malignancy in the adnexa. A subsequent surgery to resect the uterus with the adnexa, the primary origin of the mass, confirmed the diagnosis of IVL with ICE. The initial diagnostic ambiguity and the urgent pulmonary artery involvement necessitated a two-step surgical approach. Despite the propensity for recurrence, a 5-year follow-up remained unremarkable. This case underscores the importance of considering IVL with ICE in the differential diagnosis, which can expedite both diagnosis and treatment.<\/jats:p>","DOI":"10.1093\/omcr\/omae131","type":"journal-article","created":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T08:39:43Z","timestamp":1732091983000},"source":"Crossref","is-referenced-by-count":0,"title":["Bizarre intravascular leiomyoma with intracardiac extension starting in the ovarian vein: a case report from Syria"],"prefix":"10.1093","volume":"2024","author":[{"given":"Amal","family":"Babi","sequence":"first","affiliation":[{"name":"Aleppo University Hospital, University of Aleppo Department of Echocardiography, , Aleppo, Syria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9474-3777","authenticated-orcid":false,"given":"Baraa","family":"Shebli","sequence":"additional","affiliation":[{"name":"Aleppo University Hospital, University of Aleppo Cardiology Division, Internal Medicine Department, , Aleppo, Syria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5644-6325","authenticated-orcid":false,"given":"Mike","family":"Ghabally","sequence":"additional","affiliation":[{"name":"Aleppo University Hospital, University of Aleppo Cardiology Division, Internal Medicine Department, , Aleppo, Syria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hussein","family":"Alkanj","sequence":"additional","affiliation":[{"name":"Aleppo University Hospital, University of Aleppo Cardiac Surgery Department, , Aleppo, Syria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,11,20]]},"reference":[{"key":"2024112007574234000_ref1","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1016\/j.Sc.2010.00372","article-title":"Intravenous leiomyomatosis with intracardiac extension: echocardiographic study and literature review","volume":"163","author":"Li","year":"2014","journal-title":"J Sci Commun"},{"key":"2024112007574234000_ref2","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1016\/j.Sc.2010.00372","article-title":"Intravenous leiomyomatosis of the uterus: a clinicopathologic study of 18 cases, with emphasis on early diagnosis and appropriate treatment strategies","volume":"163","author":"Du","year":"2011","journal-title":"J Sci Commun"},{"key":"2024112007574234000_ref3","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1016\/j.Sc.2010.00372","article-title":"Multidisciplinary approach in the management of uterine intravenous leiomyomatosis with intracardiac extension: case report and review of literature","volume":"163","author":"Marrone","year":"2019","journal-title":"J Sci Commun"},{"key":"2024112007574234000_ref4","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1016\/j.Sc.2010.00372","article-title":"Intravenous leiomyomatosis: two cases with different routes of tumor extension","volume":"163","author":"Lam","year":"2004","journal-title":"J Sci Commun"},{"key":"2024112007574234000_ref5","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1186\/s12885-016-2112-9","article-title":"Computerized tomography angiography in preoperative assessment of intravenous leiomyomatosis extending to inferior vena cava and heart","volume":"16","author":"Gui","year":"2016","journal-title":"J Sci Commun"},{"key":"2024112007574234000_ref6","volume-title":"Lehrbuch der Pathologischen Anatomie","author":"Birch-Hirschfeld","year":"1896","edition":"5th"},{"key":"2024112007574234000_ref7","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1016\/j.Sc.2010.00372","article-title":"Intravenous leiomyomatosis with intracardiac extension - a review of diagnosis and management with an illustrative case","volume":"163","author":"Clay","year":"2013","journal-title":"J Sci Commun"},{"key":"2024112007574234000_ref8","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1016\/j.Sc.2010.00372","article-title":"Intravascular leiomyomatosis with cardiac extension: a case report","volume":"163","author":"Shaked","year":"2022","journal-title":"J Sci Commun"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2024\/11\/omae131\/60762192\/omae131.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2024\/11\/omae131\/60762192\/omae131.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T08:39:46Z","timestamp":1732091986000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omae131\/7900207"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,1]]},"references-count":8,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11,1]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omae131","relation":{},"ISSN":["2053-8855"],"issn-type":[{"type":"electronic","value":"2053-8855"}],"subject":[],"published-other":{"date-parts":[[2024,11]]},"published":{"date-parts":[[2024,11,1]]},"article-number":"omae131"}}