Successful Surgical Treatment of an Aggressive Pelvic Angiomyxoma With Intracardiac Extension

We present a case of an intravenous tumor with extension into the right atrium and right ventricle of the heart. Pelvic angiomyxoma is a rare benign tumor, which in this case carried a significant operative risk due to its extension. The patient initially presented with suspected caval and intracardiac thrombus, but unsuccessful treatment led to further investigations. The tumor was extensively dissected from the right atrium, suprarenal vena cava, and left iliac vein on cardiopulmonary bypass and deep hypothermic circulatory arrest. Affected gynecological organs were removed. The patient recovered uneventfully and received hormonal therapy postoperatively. (C) by The Society of Thoracic Surgeons