title: [Cardiac arrest in a teenager - a case report].
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.
authors.affiliation: Department of Anesthesia and Intensive Care, Landspitali University Hospital. valentva@landspitali.is
authors.forename: Valentinus Th
authors.initials: VT
authors.lastname: Valdimarsson
authors.forename: Girish
authors.initials: G
authors.lastname: Hirlekar
authors.forename: Oddur
authors.initials: O
authors.lastname: Olafsson
authors.forename: Gylfi
authors.initials: G
authors.lastname: Oskarsson
authors.forename: Hrodmar
authors.initials: H
authors.lastname: Helgason
authors.forename: Sigurdur E
authors.initials: SE
authors.lastname: Sigurdsson
authors.forename: Hildur
authors.initials: H
authors.lastname: Tomasdottir
authors.forename: Kristjan
authors.initials: K
authors.lastname: Eyjolfsson
authors.forename: Tomas
authors.initials: T
authors.lastname: Gudbjartsson
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000295:instrumentation; D015415:Biomarkers / Q000097:blood; D002648:Child; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D023903:Coronary Restenosis / Q000209:etiology / Q000601:surgery; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D004562:Electrocardiography; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006323:Heart Arrest / Q000097:blood / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006336:Heart Massage; D006801:Humans; D009203:Myocardial Infarction / Q000097:blood / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D020107:Troponin T / Q000097:blood
chemical_list: D015415:Biomarkers; D020107:Troponin T