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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. 1Cardiology, All India Institute of Medical Sciences, New Delhi, India
  2. 2Pathology, 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

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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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