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A 27 year old banker was referred by his general practitioner with constitutional symptoms and a murmur. He had a four month history of weight loss, lethargy and dry cough. On examination there was a systolic thrill and a loud ejection murmur in the pulmonary area.
Chest radiography suggested a large anterior mediastinal mass, which was confirmed by thoracic computed tomography (CT). Echocardiography showed a 2.5 × 1.5 cm mass in the right ventricular outflow tract …
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