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Cardiac tumour was first described by Columbus in 1562, but identifying a tumour in a living patient was documented in 1934. The first successful excision of cardiac myxoma was performed in 1955. Paediatric cardiac tumour is a rare entity. Most of them are benign in nature, but malignant and secondary tumours ate also encountered very rarely Clinical presentation mainly depends on the location of the tumour but the nonspecific nature of the presentation makes it a diagnostic challenge. This case report emphasises the importance of clinical evaluation when encountering a patient having nonspecific symptoms which cannot be explained by the clinical findings.

Large left atrial myxoma: Thorough clinical evaluation is the key