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Anomalous hypertrophied muscle band in LV mimicking LV mass
  1. Shivakumar Bhairappa,
  2. Himanshu Mahla,
  3. Sunil Kumar KR,
  4. Cholenahally Nanjappa Manjunath
  1. Department of Cardiology, Sri Jayadeva Institute of Cardiovasular Sciences and Research, Bengaluru, Karnataka, India
  1. Correspondence to Dr Shivakumar Bhairappa, snbhairappa{at}

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A 37-year-old man referred for non-cardiac chest pain evaluation to our tertiary care centre. There were no risk factors for coronary artery disease. Clinical examination and 12-lead ECG were normal. Transthoracic echocardiogram revealed a finger-like projection in the paraseptal region towards the left ventricle (LV) measuring 5×1.4 cm (figures 1–4; videos 1–4).Grossly, it was mimicking LV mass without any gradient across (as opposed to hypertrophic cardiomyopathy). There was no evidence of left ventricular hypertrophy (neither concentric nor eccentric). Echotexture was the same as that of …

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