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A 67-year-old male with known metastatic carcinoid to the liver diagnosed 3 years earlier treated with somatostatin and hepatic artery embolization started developing dyspnoea and obstructive cardiac symptoms, and workup was suggestive of cardiac carcinoid. Transoesophageal echocardiogram (TEE) revealed a 6 × 4 cm subpulmonic mass within the free wall of the right ventricle (RV) encroaching on the RV outflow tract (RVOT) without any valvular involvement ( Panel D ). Cardiac magnetic resonance (CMR) showed a mass centred in the epicardial fat and RV free …

Extracavitary cardiac carcinoid presenting with right ventricular outflow tract obstruction