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Published on: April 19, 2011

[Foreign body causing coronary artery occlusion]

B István, S Miklós

    Morphologiai Es Igazsagugyi Orvosi Szemle
    |July 1, 1976
    PubMed

    Insights

    A sewing needle found in a coronary artery caused heart muscle damage. This cardiac injury, a rare autopsy finding, showed no symptoms for a year.

    Area of Science:

    • Cardiovascular Pathology
    • Forensic Medicine

    Background:

    • Coronary artery anomalies are rare.
    • Foreign bodies in the cardiovascular system are exceptionally uncommon.

    Observation:

    • An incidental autopsy finding in a 45-year-old male revealed a sewing needle lodged in the descending branch of the left coronary artery.
    • The presence of the foreign body led to coronary artery occlusion.

    Findings:

    • Coronary artery occlusion resulted in myocardial necrosis and subsequent fibrosis.
    • Despite significant cardiac pathology, no clinical symptoms were observed during a one-year follow-up period.

    Implications:

    • This case highlights the potential for asymptomatic, severe cardiac pathology due to foreign bodies.
    • Underscores the importance of thorough autopsy examination for identifying incidental findings.
    • Suggests the heart's capacity to compensate or mask underlying damage in certain circumstances.

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