TY - JOUR
T1 - A case of a large leiomyomatous uterus with multiple arteriovenous malformations and subsequent high cardiac output state with severe four chamber cardiac enlargement
AU - Vega, Beatriz
AU - Stockland, Andrew H.
AU - Bramblet, Rachel M.
AU - Anderson, Alexandra L.
AU - Mankad, Rekha
AU - Khan, Zaraq
AU - Mustafa, Mohamed
AU - Steyermark, Joan M.
AU - Fields, Amanda R.
AU - Berntson, Novette J.
AU - Kenneth Schoolmeester, J.
AU - Colglazier, Jill J.
AU - Bakkum-Gamez, Jamie N.
N1 - Publisher Copyright:
© 2021 The Authors
PY - 2021/11
Y1 - 2021/11
N2 - 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.
AB - 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.
KW - Fibroid
KW - Fumarate hydratase deficiency
KW - Leiomyoma
KW - Uterine arteriovenous malformation
KW - Uterine artery embolization
UR - http://www.scopus.com/inward/record.url?scp=85120180320&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85120180320&partnerID=8YFLogxK
U2 - 10.1016/j.gore.2021.100898
DO - 10.1016/j.gore.2021.100898
M3 - Article
AN - SCOPUS:85120180320
SN - 2211-338X
VL - 38
JO - Gynecologic Oncology Reports
JF - Gynecologic Oncology Reports
M1 - 100898
ER -