Case Presentation

A 72-yr-old woman was brought to a hospital emergency room with severe chest pain. She had a history of hypertension and hypercholesterolemia. She had no history of chest pain before this episode and had been in her usual state of health. On arrival to the emergency department, her blood pressure was 190/105 mmHg and her cardiac rhythm was regular at a rate of 87 bpm. An emergent transesophageal echocardiogram was obtained (Fig. 15; please see companion DVD for corresponding video).

transesophageal

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