A rare cause of a right atrial mass
2015
This 62 year-old gentleman presented with increasing shortness of breath on exertion and reduced exercise tolerance (NYHA class III). Brain natriuretic peptide and D-dimer were markedly elevated. ECG showed no evidence of acute ischaemia. There was a history of gastro-oesophageal reflux disease and excessive alcohol consumption 8 years previously. He was an ex-smoker with a 20 pack year history.
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