Patient with DOE and chestpain in TTE as well as TEE presence of SOL in papillary muscle confirmed as well as cardiac MR undergone Sternotomy and under cardiopulmonary bypass and cardioplegia LA opened and papillary muscle excision with subvalvular apparatus done mitral valvereplacement with mechanical valve performed as well simultaneously due to involvement by tumour patient weaned from CPB uneventfully.
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