Metastasizing leiomyoma obstructing the right ventricular outflow tract
A very loud systolic murmur was identified during a pre-operative evaluation of a 51-year-old woman for an elective hysterectomy.The TTE showed a 4.7 Quilt Labels cm intracardiac mass obstructing the RVOT.The patient was scheduled instead for resection of the mass.Before anesthesia induction, the surgical team and perfusionist were prepared to init