Case Presentation: This is a case of a 68-year-old female with a history of a recent cryptogenic stroke and atrial fibrillation who presented for an elective TEE for patent foramen ovale (PFO) evaluation and possible closure. TEE revealed a PFO with evidence of a right-to-left shunt. After completion, the patient reported exquisite neck tenderness, severe […]

Case Presentation: We present an 80-year-old female with a medical history significant for atrial fibrillation and heart failure with preserved ejection fraction. She underwent pulmonary vein isolation in 2017 and had reportedly been on flecainide 150 mg twice daily and atenolol 100 milligram twice daily since then. She presented to the emergency department with dyspnea […]

Case Presentation: An 81-year-old man with a history of paroxysmal atrial fibrillation and angiosarcoma on immunotherapy presented with acute onset of shortness of breath, chest pressure and lower extremity edema. He had been started on ipilimumab and nivolumab 1 year prior to presentation and had developed immune checkpoint inhibitor (ICI) thyroiditis, hepatitis, and pneumonitis while […]