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Left ventricular outflow tract myxoma in Carney complex

Imaging findings

Echocardiography and cardiac MRI demonstrate a mobile, enhancing, T2-hyperintense mass located within the left ventricular outflow tract, in a patient with a history of recurrent cardiac myxomas.

Key takeaways

While the vast majority of cardiac myxomas occur in the left atrium, atypical locations (such as the left ventricular outflow tract) and multi-centricity or recurrence should prompt evaluation for Carney complex, an autosomal dominant neuroendocrine syndrome.

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