{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T02:54:07Z","timestamp":1782528847841,"version":"3.54.5"},"reference-count":24,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study was performed to investigate the surgical treatment of intravenous leiomyomatosis involving the right heart.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The clinical data of five patients with intracardiac leiomyomatosis treated from April 2002 to October 2017 at a single center were retrospectively analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All five patients underwent successful intravenous and right atrial tumor removal via abdominal and inferior vena cava incisions. In three patients, these incisions were combined with thoracotomy and a right atrial incision, and in two patients, they were combined with uterine and bilateral fallopian tube and ovarian resection. One patient with advanced disease underwent a one-stage procedure and died thereafter. Of the remaining four patients who underwent follow-up for 1.5 to 12.0 years, one developed recurrence at 1 year postoperatively. The recurrent tumor, which was pathologically confirmed to be an intravenous leiomyoma, was removed via inferior vena cava and internal iliac vein incisions without subsequent recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The main treatment goal for inferior vena cava leiomyomas involving the right heart is to first address the severe obstruction of cardiac blood flow and then pursue second-stage surgery. Concurrent thoracotomy appears unnecessary because moderately sized right heart tumors can be gently removed via the inferior vena cava.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0300060519858021","type":"journal-article","created":{"date-parts":[[2019,7,7]],"date-time":"2019-07-07T23:32:19Z","timestamp":1562542339000},"page":"3465-3474","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Surgical treatment of intravenous leiomyomatosis involving the right heart: a case series"],"prefix":"10.1177","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2984-9281","authenticated-orcid":false,"given":"Guangze","family":"Luo","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Tianjin Medical University General Hospital, Tianjin, China"},{"name":"Tianjin General Surgery Institute, Tianjin Medical University General Hospital, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongrui","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Tianjin Medical University General Hospital, Tianjin, China"},{"name":"Tianjin General Surgery Institute, Tianjin Medical University General Hospital, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxue","family":"Bi","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Tianjin Medical University General Hospital, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yudong","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Tianjin Medical University General Hospital, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiechang","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Tianjin Medical University General Hospital, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhou","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Tianjin Medical University General Hospital, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hailun","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Tianjin Medical University General Hospital, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiwei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Tianjin Medical University General Hospital, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiangchen","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Tianjin Medical University General Hospital, Tianjin, China"},{"name":"Tianjin General Surgery Institute, Tianjin Medical University General Hospital, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,7,7]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/modpathol.2016.36"},{"key":"e_1_3_4_3_2","first-page":"658728","article-title":"Huge intravascular tumor extending to the heart: leiomyomatosis.","volume":"2015","author":"Doganci S","year":"2015","unstructured":"Doganci S, Kaya E, Kadan M, et\u00a0al. Huge intravascular tumor extending to the heart: leiomyomatosis. 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The value of (18)F-FDG PET\/CT in the diagnosis of uterine intravenous leiomyomatosis extended into the right atrium. Hell J Nucl Med 2016; 19: 179\u2013181.","journal-title":"Hell J Nucl Med"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.3892\/ol.2016.4499"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2000.104601"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2006.10.050"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0828-282X(07)70879-6"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2017.03.031"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)40487-X"},{"key":"e_1_3_4_19_2","first-page":"700","article-title":"Intravascular leiomyomatosis of the uterus. A case report.","volume":"46","author":"Ariza A","year":"1982","unstructured":"Ariza A, Cerra C, Hahn IS, et\u00a0al. Intravascular leiomyomatosis of the uterus. 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