{"id":28357,"date":"2025-08-06T10:51:59","date_gmt":"2025-08-06T08:51:59","guid":{"rendered":"https:\/\/www.ismett.edu\/news\/palermo-a-collaborative-synergy-between-arnas-civico-hospital-and-ismett-rare-uterine-tumor-extending-to-the-heart-is-removed\/"},"modified":"2026-07-07T14:32:21","modified_gmt":"2026-07-07T12:32:21","slug":"palermo-a-collaborative-synergy-between-arnas-civico-hospital-and-ismett-rare-uterine-tumor-extending-to-the-heart-is-removed","status":"publish","type":"post","link":"https:\/\/www.ismett.edu\/en\/news\/palermo-a-collaborative-synergy-between-arnas-civico-hospital-and-ismett-rare-uterine-tumor-extending-to-the-heart-is-removed\/","title":{"rendered":"Palermo: a collaborative synergy between ARNAS Civico Hospital and ISMETT: rare uterine tumor extending to the heart is removed."},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">A team of gynecologists from ARNAS Civico in Palermo and ISMETT cardiac surgeons successfully performed an exceptional surgery to remove an <strong>intravascular leiomyomatosis<strong>, an extremely rare form of uterine fibroid of uncertain malignant potential. This very rare condition originated in the uterus and grew within the pelvic venous system, extending to the <strong>inferior vena cava<strong> and reaching the <strong>heart<strong>, with part of the mass protruding inside the right atrium and ventricle. In this case, the use of the <strong>LEER (Laterally Extended Endopelvic Resection)<strong> technique was particular important. This technique, in fact, is typically used in cases of malignant gynecological tumors resistant to conventional treatment. However, in this instance, it was used for the first time to surgically treat a uterine endovascular formation with systemic development.<\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">&#8220;The successful outcome of such a complex case is further testimony to the extremely high standards of care that citizens can expect in our Region, and once again confirms the strong clinical and scientific expertise of our professionals,&#8221; &lt;![CDATA[commented Walter Messina,, Director General of ARNAS Civico.<\/p>\n\n<p class=\"wp-block-paragraph\">\u00a0This was a virtuous example of collaboration that highlights the increasingly strategic role of ISMETT in our regional health system,&#8221; emphasized Cinzia Di Benedetto, ISMETT Director of Health Care Activities. \u201cThe cooperation between the two facilities allowed the patient to receive increasingly advanced and cutting-edge care right here in Sicily.&#8221;<\/p>\n\n<p class=\"wp-block-paragraph\">The combined gynecological\u2013cardiac surgery was decisive for the patient, who is now in good health. &#8220;From a gynecological standpoint, a field in which our hospital has a long-standing tradition, the surgery involved an en bloc removal of the uterus and ovaries, and a lateral resection of the endopelvic fascia containing the internal iliac venous plexus, up to its confluence with the common iliac vein,&#8221;  explained <strong>Domenico Cipolla<\/strong>, Director of Health Care Activities of ARNAS.<\/p>\n\n<p class=\"wp-block-paragraph\">At the same time, cardiac surgeons from ISMETT removed the intracardiac portion of the tumor through a small incision in the right atrium, without stopping the heart. &#8220;The complexity of the procedure required a perfect synergy between gynecological and cardiac surgical expertise,&#8221; stressed <strong>Marco Morsolini<strong>, cardiac surgeon at ISMETT. &#8220;The decision to operate with a beating heart, without interrupting the cardiac activity, helped reduce risks and ensured greater safety for the patient. It was an extraordinary example of teamwork that highlights the outstanding quality of health care facilities in Palermo.&#8221;<\/strong><\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">The patient had a rapid and uneventful postoperative course and will undergo regular follow-up at ARNAS Civico and at ISMETT.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A team of gynecologists from ARNAS Civico in Palermo and ISMETT cardiac surgeons successfully performed an exceptional surgery to remove [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[33],"tags":[],"class_list":["post-28357","post","type-post","status-publish","format-standard","hentry","category-press-releases"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Palermo: a collaborative synergy between ARNAS Civico Hospital and ISMETT: rare uterine tumor extending to the heart is removed. | ISMETT<\/title>\n<meta name=\"description\" content=\"Everything about &quot;Palermo: a collaborative synergy between ARNAS Civico Hospital and ISMETT: rare uterine tumor extending to the heart is removed.&quot; at ISMETT. Find out more!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ismett.edu\/en\/news\/palermo-a-collaborative-synergy-between-arnas-civico-hospital-and-ismett-rare-uterine-tumor-extending-to-the-heart-is-removed\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Palermo: a collaborative synergy between ARNAS Civico Hospital and ISMETT: rare uterine tumor extending to the heart is removed. | ISMETT\" \/>\n<meta property=\"og:description\" content=\"Everything about &quot;Palermo: a collaborative synergy between ARNAS Civico Hospital and ISMETT: rare uterine tumor extending to the heart is removed.&quot; at ISMETT. Find out more!\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ismett.edu\/en\/news\/palermo-a-collaborative-synergy-between-arnas-civico-hospital-and-ismett-rare-uterine-tumor-extending-to-the-heart-is-removed\/\" \/>\n<meta property=\"og:site_name\" content=\"ISMETT\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/IRCCSISMETT\/\" \/>\n<meta property=\"article:published_time\" content=\"2025-08-06T08:51:59+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-07-07T12:32:21+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ismett.edu\/wp-content\/uploads\/2026\/05\/ogimage.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Serena Pizzo\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:image\" content=\"https:\/\/www.ismett.edu\/wp-content\/themes\/ismett.edu\/assets\/img\/share\/og\/og-default.png?itok=1.1.2\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Serena Pizzo\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Palermo: a collaborative synergy between ARNAS Civico Hospital and ISMETT: rare uterine tumor extending to the heart is removed. | ISMETT","description":"Everything about \"Palermo: a collaborative synergy between ARNAS Civico Hospital and ISMETT: rare uterine tumor extending to the heart is removed.\" at ISMETT. 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