Do Not Put Money Where Your Mouth Is!

Author(s):
Groot, N.M.S. de; Scholte, A.J.H.A.; Jongbloed, M.R.M.; Schuijf, J.D.; DeRuiter, M.C.; Bax, J.J.; Schalij, M.J.
Published
2010
Publication type
Article / Letter to editor

Abstract

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.

Repolarization disorders Foreign body Cardiac anatomy Coronary artery atrial-fibrillation ablation
Date issued
2010-01-31
Language
English
Is part of
American Journal of the Medical Sciences (2010), Vol. 339, no. 1, p. 89-91
hdl
1887/104032
doi
10.1097/MAJ.0b013e3181bb41c8