Do Not Put Money Where Your Mouth Is!

被引:1
作者
de Groot, Natasja M. S. [1 ]
Scholte, Arthur J. H. A. [1 ]
Jongbloed, Monique R. M. [2 ]
Schuijf, Joanne D. [1 ]
DeRuiter, Marco C. [2 ]
Bax, Jeroen J. [1 ]
Schalij, Martin J. [1 ]
机构
[1] Leiden Univ, Med Ctr, Dept Cardiol, NL-2333 RC Leiden, Netherlands
[2] Leiden Univ, Med Ctr, Dept Anat & Embryol, NL-2333 RC Leiden, Netherlands
关键词
Repolarization disorders; Foreign body; Cardiac anatomy; Coronary artery; ATRIAL-FIBRILLATION; ABLATION;
D O I
10.1097/MAJ.0b013e3181bb41c8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 60-year-old woman presented with repolarization disorders on the electrocardiogram after a generalized seizure, Which immediately disappeared after vomiting up a 20-eurocent coin. We did not find any evidence of coronary artery disease. Multislice computed tomography demonstrated no coronary atherosclerotic stenosis but a close relationship of the esophagus With the corollary arteries. This relation was further studied in detail in a human cadaver. From our findings, it is most likely that the electrocardiogram alterations were due to compression of the ramus descendens posterior of the right corollary artery and/or the ramus circumflexus of the left coronary artery by the coin.
引用
收藏
页码:89 / 91
页数:3
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