Intravenous leiomyomatosis with extension to the heart: Rare or underestimated?

Intracardiac leiomyomatosis (ICL) is a rare and dangerous form of intravenous leiomyomatosis (IVL). The case of ICL presented here depicts some diagnostic and surgical difficulties that may arise from the rarity and complexity of this condition. Further, to our best knowledge, neither the mass nor the growth rate of the abdominal part of the presented ICL has been described in the available literature. Finally, this case and extensive literature search allowed us to clarify some important questions pertaining to this entity.