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July 2021 Br J Cardiol 2021;28(3) doi:10.5837/bjc.2021.033 Online First

Acute Takotsubo cardiomyopathy as a complication of transoesophageal echocardiogram

Fraser J Graham, Shona M M Jenkins

Abstract

Presentation A 52-year-old woman with a background of alpha-1-antitrypsin deficiency and severe emphysema underwent transthoracic echocardiography (TTE) that demonstrated an apparent right atrial mass adhering to the inter-atrial septum. She was referred for transoesophageal echo (TOE) to investigate further. Additionally, she had been noted to desaturate on exercise, raising the possibility of intra-cardiac shunting. She was thus also referred for saline-bubble contrast TTE. Figure 1. Transthoracic echocardiography immediately following transoesophogeal echocardiogram. Apical four-chamber view at end-diastole demonstrating normal left ventri

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