{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:38:26Z","timestamp":1787071106270,"version":"build-2736575974"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.4103\/aca.aca_23_19","type":"journal-article","created":{"date-parts":[[2021,2,12]],"date-time":"2021-02-12T07:18:01Z","timestamp":1613114281000},"page":"518-520","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Metastasizing Leiomyoma Obstructing the Right Ventricular Outflow Tract"],"prefix":"10.4103","volume":"23","author":[{"given":"Miguel Ruben","family":"Abalo","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Perioperative Medicine and Critical Care, University of Miami, Jackson Health System, Miami, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Carey","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative Medicine and Critical Care, University of Miami, Jackson Health System, Miami, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar","family":"Aljure","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative Medicine and Critical Care, University of Miami, Jackson Health System, Miami, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiliam","family":"Rodriguez-Blanco","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative Medicine and Critical Care, University of Miami, Jackson Health System, Miami, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,10,19]]},"reference":[{"key":"R1-20250921","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1186\/1477-7819-11-279","article-title":"Benign metastasizing leiomyoma of the lung","volume":"11","author":"Ki","year":"2013","journal-title":"World J Surg Oncol"},{"key":"R2-20250921","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/j.ccm.2004.01.014","article-title":"Benign metastasizing leiomyoma and lymphangioleiomyomatosis: Sex-specific diseases?","volume":"25","author":"Pitts","year":"2004","journal-title":"Clin Chest Med"},{"key":"R3-20250921","first-page":"E92","article-title":"Pulmonary benign metastasizing leiomyoma: A case report and literature review","volume":"6","author":"Chen","year":"2014","journal-title":"J Thorac Dis"},{"key":"R4-20250921","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1016\/j.athoracsur.2013.05.097","article-title":"Primary leiomyoma: A rare space occupying lesion in the right ventricle","volume":"97","author":"Song","year":"2014","journal-title":"Ann Thorac Surg"},{"key":"R5-20250921","doi-asserted-by":"crossref","first-page":"e0175875","DOI":"10.1371\/journal.pone.0175875","article-title":"Benign metastasizing leiomyoma: A review of current literature in respect to the time and type of previous gynecological surgery","volume":"12","author":"Barna\u015b","year":"2017","journal-title":"PLoS One"},{"key":"R6-20250921","first-page":"00312","article-title":"Anesthetic management of a right ventricular mass","volume":"8","author":"Deng","year":"2017","journal-title":"J Anesth Crit Care Open Access"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.ACA_23_19","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:41:33Z","timestamp":1787067693000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.ACA_23_19"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":6,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_23_19","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10]]},"assertion":[{"value":"2019-02-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-04-23","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}