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Large left atrial myxoma with an unusual origin
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  1. Rebecca Dobson1,
  2. Emma Tweddle2,
  3. Martha Scott2,
  4. Arzu Cubukcu2
  1. 1Department of Endocrinology, University of Liverpool, Liverpool, UK
  2. 2Cardiology Department, East Cheshire NHS Trust, Macclesfield, Cheshire, UK
  1. Correspondence to Dr Rebecca Dobson, rebeccadobson{at}doctors.org.uk

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Description

An 82-year-old woman was investigated for weight loss and malaise. Clinical examination revealed cachexia, dyspnoea, irregular pulse, loud pan-systolic murmur best heard at cardiac apex along with a diastolic tumour plop sound.

Figure 1

Trans-thoracic apical four-chamber view.

Figure 2

Trans-oesophageal short-axis view.

Figure 3

Trans-oesophageal image illustrating left ventricular outflow tract obstruction.

The patient underwent transthoracic ECG examination (figures 1–3). A large mass measuring 36×39 mm was noted …

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