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A 50-year-old woman with atrial fibrillation was investigated for a one-month history of worsening shortness of breath and lower limb edema. A chest computed tomography and transthoracic echocardiogram revealed an 8 × 9 cm left atrial mass delineated by a peripheral calcified rim that was attached to the interatrial septum (Figure 1; Movie 1) . A coronary angiogram was performed prior to planned urgent resection. It revealed non-flow limiting lesions in the coronary arteries and demonstrated adoi:10.4250/jcvi.2020.0219 pmid:34080345 fatcat:nglrshivc5bupp7yo64ajlsiu4