• A&A practice · May 2021

    Case Reports

    Inferior Vena Cava Leiomyosarcoma With Extension to Right Atrium in a Parturient at 30 Weeks of Gestation: A Case Report.

    • Samantha F Lu, Emery H McCrory, Rachel H Bandi, Irina R Cassimatis, and LangeElizabeth M SEMSFrom the Department of Anesthesiology..
    • From the Department of Anesthesiology.
    • A A Pract. 2021 May 27; 15 (6): e01478.

    AbstractPrimary leiomyosarcomas of the inferior vena cava (IVC) are rare sarcomas, none of which have been described in literature during a third-trimester pregnancy. Here, we describe the complex care of a patient at 30 weeks of gestation who presented to her obstetrician with shortness of breath and lower extremity swelling. She was found to have a 5.0 × 5.0 × 13 cm heterogeneous mass of her IVC, ultimately diagnosed as a leiomyosarcoma. She underwent a cesarean delivery under combined spinal epidural and a subsequent tumor resection and IVC reconstruction requiring multidisciplinary surgical and anesthetic care.Copyright © 2021 International Anesthesia Research Society.

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