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Hjartastopp hjá unglingsstúlku – sjúkratilfelli

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Authors
Valentínus Þ. Valdimarsson
Girish Hirlekar
Oddur Ólafsson
Gylfi Óskarsson
Hróðmar Helgason
Sigurður E. Sigurðsson
Hildur Tómasdóttir
Kristján Eyjólfsson
Tómas Guðbjartsson
Issue Date
2012-12

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Other Titles
Cardiac arrest in a teenager - a case report
Citation
Læknablaðið 2012, 98(12):647-50
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.
Hjartastopp er sjaldgæft hjá börnum og unglingum. Lýst er 12 ára stúlku sem fór í hjartastopp eftir brátt hjartadrep þar sem beita varð langvarandi hjartahnoði og hjarta- og lungnavél til að bjarga lífi hennar. Við kransæðaþræðingu vaknaði grunur um flysjun í vinstri kransæðarstofni og var því komið fyrir kransæðastoðneti. Samdráttur hjartans lagaðist og var hjarta- og lungnavélin aftengd viku síðar. Hún útskrifaðist heim en hálfu ári síðar sást endurþrenging í stoðnetinu og var því gerð kransæðahjáveituaðgerð. Á tölvusneiðmyndum sást að um meðfæddan galla var að ræða þar sem vinstri kransæðarstofn átti upptök frá hægri ósæðarbolla í stað þess vinstra. Tilfellið sýnir að kransæðamissmíð getur valdið lífshættulegu hjartadrepi.
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Case of the month (Sjúkratilfelli mánaðarins) Articles in Icelandic

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