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Left ventricular myxoma with dynamic left ventricular outflow tract obstruction
  1. Sambaturu V Kartik1,
  2. Arun Gopalakrishnan1,
  3. A N Deepti2,
  4. Krishna Kumar Mohanan Nair1,
  5. Vivek V Pillai3,
  6. Ajitkumar Valaparambil1
  1. 1Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, India
  2. 2Department of Pathology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
  3. 3Department of Cardiovascular and Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvanthapuram, Kerala, India
  1. Correspondence to Dr Arun Gopalakrishnan, Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala 695011, India; arungopalakrishnan99{at}gmail.com

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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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