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A 73-year-old man presents acute ischaemia of the left humeral artery in the upper limb. He had a recent cerebral haemorrhage in combination with multiple cerebral ischaemic lesions. A transthoracic echocardiography showed an isoechogen, polylobate and mobile mass protruding into the left atrium (area size: 5 cm2), attached with a pedicle to the atrial slope of the anterior mitral leaflet (figure 1). A histological analysis of the upper limb material was performed (figure 2).
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