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A huge thumb in the heart
  1. Se-Jung Yoon,
  2. Dong Woon Jeon,
  3. Joo Young Yang
  1. Division of Cardiology, NHI Ilsan Hospital, Goyang, Republic of Korea
  1. Correspondence to Dr Joo Young Yang, Cardiovascular Center, Ilsan Hospital, National Health Insurance Service, Baeksuk 1 dong 1232 Ilsandong-ku, Goyang, Kyungido 410-719, Republic of Korea; jooyy11{at}

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A 69-year-old woman with hypertension, with dyspnoea for 1 month, was admitted to the emergency department. On presentation, transthoracic echocardiography showed preserved left ventricular systolic function (ejection fraction=52%) and a large, highly mobile linear cystic mass in the right atrium coming from the inferior vena cava (figure …

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