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Large thymoma mass invading cardiac structures
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  1. Amer Harky,
  2. Mohamad Bashir,
  3. Ashok Kar,
  4. Alan Wood
  1. Department of Cardiothoracic Surgery, Saint Bartholomew's Hospital, London, UK
  1. Correspondence to Amer Harky, dr_amerali{at}hotmail.com

https://doi.org/10.1136/bcr-2016-218211

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    Description

    We report a retired, Afro-Caribbean man aged 69 years who presented to his local hospital with several weeks of dyspnoea and cough. Physical examination was unremarkable apart from an elevated jugular venous pressure and a bilateral pedal oedema. His medical history included asthma and controlled hypertension. Urgent transthoracic echocardiography showed a large soft tissue mass in the pericardial space compressing the right ventricle (RV), and the right atrium (RA).

    A CT of the thorax showed a mass measuring 16 cm in width by 8 cm in depth with infiltration and compression of RV and RA with distortion of atrioventricular …

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