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Star in the heart
  1. K M Krishnamoorthy1,
  2. J A Tharakan1,
  3. S R Krishnamanohar2
  1. 1Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
  2. 2Department of Cardiac Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology
  1. Correspondence to:
    Dr K M Krishnamoorthy
    SCTIMST, Trivandrum 695 011, India;


In a 50 year old woman, transthoracic echocardiography showed a left atrial mass. Transoesophageal echocardiography delineated its attachment. Additionally, cystic spaces were seen arranged concentrically in the shape of a star in the centre of the tumour. Surgical excision followed. Histopathological examination confirmed myxoma with areas of haemorrhage and necrosis. This case highlights the acoustic property of myxomas in a rare and beautiful manner and emphasises the superior transoesophageal imaging of myxomas.

  • myxoma
  • echocardiography
  • transoesophageal echocardiography

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