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Here, we reported a specific case with successful surgical resection through one-stage total hysterectomy, bilateral oophorectomy, and the intracardiovascular lesion. This procedure would be an optimal choice for uterine leiomyoma invading inferior vena cava and spreading to right atrium.<\/jats:p>","DOI":"10.1186\/s13019-024-02681-3","type":"journal-article","created":{"date-parts":[[2024,4,14]],"date-time":"2024-04-14T22:01:33Z","timestamp":1713132093000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Surgical strategy for intravenous leiomyomatosis spreading from uterine to the right atrium presenting with recurrent syncope"],"prefix":"10.1186","volume":"19","author":[{"given":"Gengxu","family":"He","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tong","family":"Yao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Geng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiang","family":"Ji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kun","family":"Zuo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanzhi","family":"Luo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,4,15]]},"reference":[{"issue":"3","key":"2681_CR1","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1007\/s10016-006-9024-0","volume":"20","author":"P Castelli","year":"2006","unstructured":"Castelli P, Caronno R, Piffaretti G, Tozzi M. 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Estrogen and progesterone expression of vessel walls with intravascular leiomyomatosis; discussion of histogenesis. Eur J Gynaecol Oncol. 2004;25:362\u20136.","journal-title":"Eur J Gynaecol Oncol"},{"issue":"2","key":"2681_CR7","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1016\/j.jvs.2003.08.012","volume":"39","author":"PM Lam","year":"2004","unstructured":"Lam PM, Lo KW, Yu MY, Wong WS, Lau JY, Arifi AA, Cheung TH. Intravenous leiomyomatosis: two cases with different routes of tumor extension. J Vasc Surg. 2004;39(2):465\u20139.","journal-title":"J Vasc Surg"},{"key":"2681_CR8","doi-asserted-by":"publisher","first-page":"340","DOI":"10.1097\/PGP.0b013e3181656dab","volume":"27","author":"HJ Lee","year":"2008","unstructured":"Lee HJ, Choi J, Kim KR. Pulmonary benign metastasizing leiomyoma associated with intravenous leiomyomatosis of the uterus: clinical behavior and genomic changes supporting a transportation theory. 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