Abstract
Cardiac arrest is rarely seen in children and teenagers. We present a 12-year old girl with cardiac arrest following myocardial infarction, that required prolonged cardiac massage and extracorporeal-membranous-oxygenation (ECMO). At coronary angiography the left main coronary artery (LMCA) was stented for a suspected coronary dissection. The contraction of the heart improved and the ECMO-treatment was discontinued a week later. The patient was discharged home, but six months later a coronary artery bypass surgery was performed for in-stent restenosis. Further work-up with computed tomography (CT) showed that the LMCA originated from the right aortic sinus instead of the the left one. This case demonstrates how life threatening myocardial infarction can be caused by coronary artery anomalies.
| Translated title of the contribution | Cardiac arrest in a teenager - a case report |
|---|---|
| Original language | Icelandic |
| Pages (from-to) | 647-50 |
| Number of pages | 4 |
| Journal | Laeknabladid |
| Volume | 98 |
| Issue number | 12 |
| Publication status | Published - 2012 Dec |
| Externally published | Yes |
Subject classification (UKÄ)
- Cardiac and Cardiovascular Systems
Free keywords
- Angioplasty, Balloon, Coronary/adverse effects
- Biomarkers/blood
- Child
- Coronary Angiography
- Coronary Artery Bypass
- Coronary Restenosis/etiology
- Coronary Vessel Anomalies/complications
- Electrocardiography
- Extracorporeal Membrane Oxygenation
- Female
- Heart Arrest/blood
- Heart Massage
- Humans
- Myocardial Infarction/blood
- Tomography, X-Ray Computed
- Treatment Outcome
- Troponin T/blood