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Occult cardiac myxoma with glandular structure detected by transesophageal echocardiography in a patient with cerebral infarction
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  • Yunqi Liu,
  • Yanqiu Liu,
  • Yang Peng,
  • fengjuan yao,
  • Xiangmin Li,
  • Mai Xiong
Yunqi Liu
Sun Yat-sen University First Affiliated Hospital
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Yanqiu Liu
Sun Yat-sen University First Affiliated Hospital
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Yang Peng
Sun Yat-sen University First Affiliated Hospital
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fengjuan yao
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Xiangmin Li
Sun Yat-sen University First Affiliated Hospital
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Mai Xiong
Sun Yat-sen University First Affiliated Hospital
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Abstract

A previously healthy 68-year-old woman with abrupt weakness in her left limbs underwent transthoracic echocardiography for paroxysmal atrial fibrillation, which showed normal left ventricular function and no abnormalities except for left atrial dilation. However, transesophageal echocardiogram showed two leaflet-shaped loose left atrial masses were attached to the atrial septum near the oval fossa. Further CDFI found a few small vessels at the base, confirming the atrial myxoma. Surgery was performed to resect the intracardiac mass, and the histologic examination showed cardiac myxoma with glandular structure.