Unusual cause of XXXX , when OGD could be fatal.

@entity1 @entity662 @entity5745 @entity772 @entity591 @entity1188 @entity292 @entity955 @entity1167 @entity360
A 57-year-old @entity1 presented with @entity662 , dyspnoea and coffee grounds emesis. He was haemodynamically stable without significant drop in haemoglobin. He suddenly developed @entity1167 with wide complex @entity591 and became @entity772 . CT scan of the head revealed @entity5745 and @entity1188 . Given the recent history of radiofrequency ablation for @entity955 , @entity292 ( @entity292 ) was suspected. CT angiography of the thorax showed a 5   mm diverticulum on the posterior wall of the left atrium, also raising suspicion for @entity292 . The @entity1 was taken to the operating room. An @entity292 was found and repaired. He did not have any further @entity360 . There was no neurological recovery at day 11 and life support was withdrawn per his family's request. This case highlights the importance of obtaining history of recent cardiac procedures in @entity1 presenting with an @entity360 . An oesophagogastroduodenoscopy in this @entity1 could have been instantaneously deadly.
