“… 15 describe the case of a patient who had multiple TTS events, with both epicardial and microvascular coronary spasm, before the neoplasm was finally identified and removed. Even more striking is the case reported by Hiruma et al, 16 where a 79-year-old woman experienced four episodes of TTS in the short time period of 10 months, with extremely variable triggering conditions and ballooning presentation, making it impossible to hypothesize any recurrent pattern.…”