Surgical Management of Intravenous Leiomyoma with Cardiac Extension. Do We Need Total Circulatory Arrest

: Intravenous leiomyoma of the uterus is a histologically benign, smooth-muscle tumor and may extend through the inferior vena cava into the right atrium. Surgical treatment is mandatory and single-stage resection of the tumor has gained wide acceptance as a safe and easy procedure. We describe a single-stage surgical procedure for an intravenous leiomyoma extending to the right atrium diagnosed in a routine control after myomectomy.