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A 24-year-old man presented with sudden motor aphasia and right hemiparesis which recovered spontaneously over 30 min. Cardiac evaluation revealed a short mid-systolic murmur at the aortic area. He was in sinus rhythm. Transthoracic echocardiography revealed a large pedunculated mass in the left ventricular outflow tract with phasic prolapse through the aortic valve causing dynamic severe outflow tract obstruction (figure 1A, video 1). There were no other cardiac masses and the interventricular septum was intact. Emergent surgical excision was done with good result. The yellowish white soft fleshy tumour …
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