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Mailing Address: Antônio Fernando Diniz Freire • Rua Martiniano de Carvalho, 807. Postal Code 013210-000, Bela Vista, SP – Brazil E-mail: antoniofernando85@yahoo.com.br Manuscript received July 22, 2016, revised manuscript August 31, 2016, accepted on August 31, 2016. Female patient, 45 years-old, reported dyspnea on routine efforts with 6 months of evolution with dry cough. Previously healthy she refused to take regular medication. According to the physical examination, she had a heart rate of 105 bpm, blood pressure of 90x60mmHg, respiratory frequency 30 incursions per minute, arterial saturation of 88%, slow capillary filling time, rhythmic sounds, diastolic rumble murmur (+++/6) in mitral focus and bibasal pulmonary crepitations. Chest X-Ray showed a discreet widening of the mediastinum. Chest CT was performed to evaluate the mediastinum and pulmonary parenchyma and an intracardiac mass was found. It evolved with hypotension and worsening of pulmonary congestion.

Patient with Atrial Myxoma and Signs of Obstruction of the Left Ventricular Outflow Tract