A case of a large leiomyomatous uterus with multiple arteriovenous malformations and subsequent high cardiac output state with severe four chamber cardiac enlargement

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

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Article number100898
JournalGynecologic Oncology Reports
Volume38
DOIs
StatePublished - Nov 2021

Keywords

  • Fibroid
  • Fumarate hydratase deficiency
  • Leiomyoma
  • Uterine arteriovenous malformation
  • Uterine artery embolization

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynecology

Fingerprint

Dive into the research topics of 'A case of a large leiomyomatous uterus with multiple arteriovenous malformations and subsequent high cardiac output state with severe four chamber cardiac enlargement'. Together they form a unique fingerprint.

Cite this