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Figures
- Fig 1.
Electrocardiogram and transthoracic echocardiograms. Fig 1a is the 12-lead electrocardiogram of the patient showing sinus rhythm, normal PR interval and QRS axis but tall R waves in V3, V4. Borderline LVH is evident. Fig 1b is the transthoracic echocardiographic still frame in diastole from the parasternal long-axis projection suggesting asymmetric septal hypertrophy. The ventricular myxoma (red asterisk) is inconspicuous in this view. Fig 1c is the transthoracic echocardiographic still frame in diastole from the apical five-chamber projection showing a small plane of demarcation between the ventricular myxoma and the inter-ventricular septum differentiating the tumour from asymmetric ventricular hypertrophy.
AO = aorta; IVS = inter-ventricular septum; LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle.
- Fig 2.
Cardiac magnetic resonance imaging (MRI) images of the patient. Fig 2a is the axial section showing the cardiac mass (red asterisk) with stalks of attachment (arrows) mimicking septal hypertrophy. Fig 2b is the T1-weighted short axis MRI still image showing that the mass is isointense with the myocardium. Fig 2c shows that the mass is hyperintense on T2-weighted imaging. Fig 2d is the late gadolinium sequence of the MRI showing peripheral tumour enhancement (arrows) and mild central enhancement.
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