Abstract

A 73-year-old man had experienced episodes of palpitations for more than 1 year. The palpitations occurred when the patient was in a supine position and they were not related to exertion. They were not associated with syncope or chest pain. The cardiac workup included a Holter monitor that showed a predominantly sinus rhythm with premature atrial contractions and several episodes of nonsustained atrial tachycardia. A transthoracic echocardiogram demonstrated a left atrial mass. A transesophageal echocardiogram confirmed the presence of an echodensity attached to the posterior aspect of the left atrium that measured 1.4 × 1.5 cm with calcium in the mass (Fig 1).

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