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A woman in her 40s who presented for gastrointestinal symptoms was noted on physical examination to have jugular venous distention and a grade 3/6 systolic murmur heard best at the fifth intercostal space in the left side of the sternum. Transthoracic echocardiography showed a mobile mass on the tricuspid valve with moderate tricuspid regurgitation, which was surgically removed and confirmed to be a papillary fibroelastoma, the second most common primary benign cardiac tumor after myxoma and the most common involving cardiac valves. Click the Related Article link for complete case details and review.
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