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. 2016 Sep 16;95(37):e4902. doi: 10.1097/MD.0000000000004902

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Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially. http://creativecommons.org/licenses/by-nc/4.0

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Transesophageal echocardiography (TEE) revealed a strip-type mass in the right atrium of a stage III patient. A 55-year-old patient with stage III IVL complained of palpitations and shortness of breath. The patient underwent cardiopulmonary bypass-assisted surgery with deep hypothermia circulation arrest. Intraoperative TEE revealed a strip-type mass, extending from the inferior vena cava to right atrium. The head end was enlarged to 66 mm × 25 mm, and it entered into right ventricular while ventricular diastole. The right atrium and inferior vena cava were opened and the tumor was removed via an abdominal thoracic incision.