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Atrial space-occupying lesions – the role of multi-modality imaging

May 2010 Br J Cardiol 2010;17:148-50

Atrial space-occupying lesions – the role of multi-modality imaging

Sanjay M Banypersad, Matthias Schmitt

Abstract

Case 1 A 49-year-old woman with an unremarkable past medical history presented to her local hospital with irregular palpitations and two syncopal episodes. On both occasions she had regained consciousness without any neurological features, neither as prodrome nor in recovery. Examination revealed a diastolic murmur. Electrocardiogram (ECG) and chest X-ray were normal. A transthoracic echocardiogram (TTE) revealed a 2–3 cm mass in a non-dilated left atrium. Her transoesophageal echocardiogram showed the mass to be located close to the right, lower pulmonary vein but suggested the point of attachment to be the posterior wall rather than the a

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