Abstract
A 77-year-old woman presented with dyspnoea and respiratory-related thoracic pain, which was accompanied by dizziness and fatigue but no syncopal attacks. Auscultation of the heart disclosed an opening snap with mid-diastolic murmur. Laboratory assessment revealed no abnormalities but an elevated D-dimer level (1.49 mg/l). Electrocardiography was normal. The chest radiograph showed an enlarged heart without other abnormalities. Computed tomography (CT) scan for a suspected diagnosis of pulmonary embolism was performed. The CT scan did not reveal pulmonary embolism, but a large cardiac tumour in the left atrium.
MeSH terms
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Acute Disease
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Aged
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Cardiac Surgical Procedures
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Chest Pain / etiology*
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Echocardiography, Transesophageal
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Female
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Heart Atria / pathology
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Heart Auscultation
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Heart Neoplasms / complications*
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Heart Neoplasms / diagnosis
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Heart Neoplasms / pathology
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Heart Neoplasms / surgery
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Humans
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Magnetic Resonance Imaging
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Mitral Valve Stenosis / diagnosis
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Mitral Valve Stenosis / etiology*
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Mitral Valve Stenosis / surgery
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Myxoma / complications*
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Myxoma / diagnosis
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Myxoma / pathology
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Myxoma / surgery
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Predictive Value of Tests
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Respiratory Insufficiency / etiology*
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Tomography, X-Ray Computed
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Treatment Outcome
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Tumor Burden