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Figure legends
Figure 1(A-C): Transesophageal echocardiography showing mobile mass in
the right atrium in the bicaval (A) and short axis (B) views (arrows).
Chest CT (C) showing the same mass in the right atrium (arrow). The mass
is attached to the septal leaflet of the tricuspid valve. The
differential diagnosis was between right sided atrial myxoma and
fibroelastoma.
Figure 2: Coronary angiography showing patent left system (left) and
right coronary artery (right) with no evidence for atherosclerotic
obstructive lesions.
Figure 3: The resected mass from the right atrium. The pathology
findings were consistent with fibroelastoma. This is a rare location of
fibroelastoma as the most common sites for these tumors are the
ventricular side of the aortic valve followed by the atrial side of the
mitral valve.
Figure 4(A-B): ECG showing diffuse ST segment changes with minimal ST
elevation in the anterior leads (A), finding that has been reported in
many patients with TTS. The initial ECG before surgery was completely
normal. Apical four chambers view (B) showing prominent apical
ballooning typical for takotsubo. Cine echocardiography showed basal
hypercontractility with dynamic mitral regurgitation secondary to left
ventricular outflow tract obstruction.