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An 82-year-old woman with a cardiac mass
  1. Anna Galas,
  2. Tomasz Hryniewiecki,
  3. Piotr Szymanski
  1. Department of Valvular Heart Disease, Institute of Cardiology, Warsaw, Poland
  1. Correspondence to Dr Anna Galas, Department of Valvular Heart Disease, Institute of Cardiology, Alpejska 42, Warsaw 04-628, Poland; agalas{at}

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Clinical introduction

An 82-year-old woman suspected of a cardiac tumour was referred for evaluation. Patient's medical history included atrial fibrillation, implantation of a VVI (ventricular stimulation) pacemaker 3 years earlier due to advanced atrioventicular (AV) block, arterial hypertension and hypothyroidism. Patient was adequately anticoagulated with warfarin (international normalized ratio (INR) 3.0 at admission). She reported occasional palpitations and a 2 kg weight loss in the last 2 years, but denied shortness of breath, chest pain, malaise, fever, chills or cough. Blood samples …

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