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Mass protruding out from pulmonary vein to left atrium
  1. A Shaheer Ahmed1,
  2. Sudheer Kumar Arava2,
  3. Sivasubramanian Ramakrishnan1
  1. 1 Cardiology, All India Institute of Medical Sciences, New Delhi, India
  2. 2 Pathology, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Professor Sivasubramanian Ramakrishnan, Cardiology, All India Institute of Medical Sciences, New Delhi 110029, India; ramaaiims{at}gmail.com

http://dx.doi.org/10.1136/postgradmedj-2019-137176

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    A 6-year-old boy, with a history of being operated for Wilms tumour, had presented to us with symptoms of insidious onset gradually increasing breathlessness on exertion. Echocardiography revealed 46×30 mm pedunculated homogenous mass attached to free wall of the left atrium prolapsing into left ventricle during diastole, severe pulmonary hypertension and right ventricular dysfunction (figure 1). Since he had a contrast-enhanced CT scan abdomen a few months back which did not show any recurrence, provisional diagnosis of atypical left atrial myxoma …

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    Footnotes

    • Contributors ASA was involved in patient care and preparing the manuscript. SKA did the histopathologic examination of the specimen. SR was involved in patient care and final approval of the manuscript.

    • 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 for publication Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.