CONCLUSION
This case posed us with a diagnostic dilemma throughout the work up
including high-resolution multimodality imaging. Though contrast
echocardiography and cardiac MRI were closest to intraoperative
diagnosis but in the absence of predisposing factors, we were left with
differential diagnosis until our surgeons did gross examination in the
operating theatre along with microscopic pathological diagnosis. In view
of the rarity of such peculiar finding and the challenging presentation
along with lack of clear consensus for diagnosis and management we
thought to share our experience.