Case presentation
A 22-year-old woman with a history of type 1 diabetes referred to the emergency room complaining of atypical chest pain and palpitation.
On transthoracic and transesophageal echocardiography, the size and function of the right and left ventricles were normal, the size of the atria was normal, and there was mild regurgitation of the mitral and tricuspid valves. TRG was 23mmHg and PAP was 28mmHg. There is homogenous fixed bilobated mass attached to RA roof (size=2.8ₓ1.7cm), no mass in other valves or cardiac chambers. (Figure 1)