Cardiac arrest resulting from an unidentified foreign object, later identified as a balloon cover, within the left anterior descending coronary artery

Cardiac arrest resulting from an unidentified foreign object, later identified as a balloon cover, within the left anterior descending coronary artery

A 31-year-old man with a history of hypertrophic cardiomyopathy and alcohol septal ablation one week before was presented after an out of hospital cardiac arrest in the setting of an anterior wall ST-elevation myocardial infarction. Immediate coronary angiography showed an unidentified foreign objec...

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Bibliographic Details
Published in:BMJ case reports Vol. 15; no. 4; p. e244786
Main Authors: Visser, Pascal Christiaan Jan, Vink, Maarten A, Patterson, Mark S, Yazdanbakhsh, Aria, Arlan, Fatih, Kuipers, Remko S
Format: Journal Article
Language:English
Published: England BMJ Publishing Group LTD 15-04-2022
BMJ Publishing Group
Subjects:
Ablation
Adult
Alcohol
Anterior Wall Myocardial Infarction
Blood clots
Cardiac arrest
Cardiac arrhythmia
Cardiomyopathy
Case reports
Case Reports: Reminder of important clinical lesson
Cocaine
Coronary Angiography
Coronary Artery Bypass
Coronary vessels
Coronary Vessels - diagnostic imaging
Coronary Vessels - surgery
Dissection
Drug use
Foreign bodies
Foreign Bodies - complications
Foreign Bodies - diagnostic imaging
Foreign Bodies - surgery
Heart Arrest - etiology
Heart attacks
Hospitals
Humans
Male
Marijuana
Medical imaging
Stents
Tomography
Ultrasonic imaging
Veins & arteries
Interventional cardiology
Gastrointestinal surgery
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Description
Summary:A 31-year-old man with a history of hypertrophic cardiomyopathy and alcohol septal ablation one week before was presented after an out of hospital cardiac arrest in the setting of an anterior wall ST-elevation myocardial infarction. Immediate coronary angiography showed an unidentified foreign object within the left anterior descending coronary artery (LAD), later identified as the cover of a balloon that had been unintentionally inserted and abandoned within the LAD during the alcohol septum ablation one week earlier. Intracoronary imaging confirmed the presence of endothelial damage and thrombus formation within the LAD explaining acute myocardial infarction. The patient was treated by surgical retrieval of the balloon cover, extended septal myectomy and coronary artery bypass grafting (CABG) of the LAD. This case is both an example of unintentional neglect of unexpected objects, and the importance of multimodality imaging and multidisciplinary teamwork to get to a correct diagnosis and treatment.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2021-244786