Abstract
Background: We encountered a rare case of intravenous leiomyomatosis extending to the inferior vena cava. Case: The patient was a 47-year-old woman, who had a history of total hysterectomy due to uterine leiomyoma two months previously. Enhanced computed tomography revealed tumor extending from the hepatic inferior vena cava to the right common iliac vein, and the left femoral vein. Result: The tumor was removed by balloon catheter without cardiopulmonary bypass. The postoperative course was uneventful. Conclusion: We should decide on the use of cardiopulmonary bypass or venous reconstruction based on tumor characteristics.