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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 …
SVK, AG, AND, KKMN, VVP and AV contributed equally.
Contributors SVK, AG, DAN, KKMN and VVP prepared the manuscript. The work was supervised by AV and is the guarantor of the study. All authors equally contributed in the preparation of the manuscript and approved its final version.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Ethics approval The study was conducted in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its amendments.
Provenance and peer review Not commissioned; internally peer reviewed.
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