A case of a large leiomyomatous uterus with multiple arteriovenous malformations and subsequent high cardiac output state with severe four chamber cardiac enlargement
Uterine arteriovenous malformations (AVMs) are rare and potentially life-threatening. They can be congenital or acquired. Uterine artery embolization or hysterectomy are considered mainstays of management. AVMs can be associated with leiomyomas, and patients may require both procedures. We present a...
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2021
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oai:doaj.org-article:a7b1d718e8d048ea977ae018ab35db482021-11-28T04:34:33ZA case of a large leiomyomatous uterus with multiple arteriovenous malformations and subsequent high cardiac output state with severe four chamber cardiac enlargement2352-578910.1016/j.gore.2021.100898https://doaj.org/article/a7b1d718e8d048ea977ae018ab35db482021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352578921002022https://doaj.org/toc/2352-5789Uterine arteriovenous malformations (AVMs) are rare and potentially life-threatening. They can be congenital or acquired. Uterine artery embolization or hysterectomy are considered mainstays of management. AVMs can be associated with leiomyomas, and patients may require both procedures. We present a case of a 42-year-old woman with a massively enlarged leiomyomatous uterus supplied and drained by multiple large AVMs, leading to high cardiac output state with severe four chamber cardiac dilation. Management required a multidisciplinary team of interventional radiology, gynecologic oncology surgery, vascular surgery, cardiac anesthesiology, cardiology, and urology and a 2-day interventional approach of preoperative arterial embolization followed by hysterectomy.Beatriz VegaAndrew H. StocklandRachel M. BrambletAlexandra L. AndersonRekha MankadZaraq KhanMohamed MustafaJoan M. SteyermarkAmanda R. FieldsNovette J. BerntsonJ. Kenneth SchoolmeesterJill J. ColglazierJamie N. Bakkum-GamezElsevierarticleUterine arteriovenous malformationLeiomyomaFibroidUterine artery embolizationFumarate hydratase deficiencyGynecology and obstetricsRG1-991Neoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENGynecologic Oncology Reports, Vol 38, Iss , Pp 100898- (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Uterine arteriovenous malformation Leiomyoma Fibroid Uterine artery embolization Fumarate hydratase deficiency Gynecology and obstetrics RG1-991 Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
| spellingShingle |
Uterine arteriovenous malformation Leiomyoma Fibroid Uterine artery embolization Fumarate hydratase deficiency Gynecology and obstetrics RG1-991 Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Beatriz Vega Andrew H. Stockland Rachel M. Bramblet Alexandra L. Anderson Rekha Mankad Zaraq Khan Mohamed Mustafa Joan M. Steyermark Amanda R. Fields Novette J. Berntson J. Kenneth Schoolmeester Jill J. Colglazier Jamie N. Bakkum-Gamez A case of a large leiomyomatous uterus with multiple arteriovenous malformations and subsequent high cardiac output state with severe four chamber cardiac enlargement |
| description |
Uterine arteriovenous malformations (AVMs) are rare and potentially life-threatening. They can be congenital or acquired. Uterine artery embolization or hysterectomy are considered mainstays of management. AVMs can be associated with leiomyomas, and patients may require both procedures. We present a case of a 42-year-old woman with a massively enlarged leiomyomatous uterus supplied and drained by multiple large AVMs, leading to high cardiac output state with severe four chamber cardiac dilation. Management required a multidisciplinary team of interventional radiology, gynecologic oncology surgery, vascular surgery, cardiac anesthesiology, cardiology, and urology and a 2-day interventional approach of preoperative arterial embolization followed by hysterectomy. |
| format |
article |
| author |
Beatriz Vega Andrew H. Stockland Rachel M. Bramblet Alexandra L. Anderson Rekha Mankad Zaraq Khan Mohamed Mustafa Joan M. Steyermark Amanda R. Fields Novette J. Berntson J. Kenneth Schoolmeester Jill J. Colglazier Jamie N. Bakkum-Gamez |
| author_facet |
Beatriz Vega Andrew H. Stockland Rachel M. Bramblet Alexandra L. Anderson Rekha Mankad Zaraq Khan Mohamed Mustafa Joan M. Steyermark Amanda R. Fields Novette J. Berntson J. Kenneth Schoolmeester Jill J. Colglazier Jamie N. Bakkum-Gamez |
| author_sort |
Beatriz Vega |
| title |
A case of a large leiomyomatous uterus with multiple arteriovenous malformations and subsequent high cardiac output state with severe four chamber cardiac enlargement |
| title_short |
A case of a large leiomyomatous uterus with multiple arteriovenous malformations and subsequent high cardiac output state with severe four chamber cardiac enlargement |
| title_full |
A case of a large leiomyomatous uterus with multiple arteriovenous malformations and subsequent high cardiac output state with severe four chamber cardiac enlargement |
| title_fullStr |
A case of a large leiomyomatous uterus with multiple arteriovenous malformations and subsequent high cardiac output state with severe four chamber cardiac enlargement |
| title_full_unstemmed |
A case of a large leiomyomatous uterus with multiple arteriovenous malformations and subsequent high cardiac output state with severe four chamber cardiac enlargement |
| title_sort |
case of a large leiomyomatous uterus with multiple arteriovenous malformations and subsequent high cardiac output state with severe four chamber cardiac enlargement |
| publisher |
Elsevier |
| publishDate |
2021 |
| url |
https://doaj.org/article/a7b1d718e8d048ea977ae018ab35db48 |
| work_keys_str_mv |
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