Perinatal myocardial infarction in a newborn with a structurally normal heart.
Myocardial infarction in a newborn infant in the absence of congenital heart disease and anomalous coronary artery anatomy is extremely rare. We report a case of a newborn with a structurally normal heart who presented shortly after birth with congestive heart failure and cardiovascular collapse suggestive of a hypoplastic left ventricle or critical aortic stenosis. This newborn had a massive myocardial infarction caused by thromboembolic occlusion of the left main coronary artery. Clinical, laboratory, and autopsy data suggest the event occurred in utero.
Muraskas
J
J
Division of Neonatology, Loyola University Medical Center, Maywood, Illinois, USA.
Besinger
R
R
Bell
T
T
DeLeon
S
S
Husain
A
A
D000328:Adult; D001024:Aortic Valve Stenosis / Q000175:diagnosis; D001145:Arrhythmias, Cardiac / Q000175:diagnosis; D003328:Coronary Thrombosis / Q000150:complications* / Q000175:diagnosis; D004562:Electrocardiography; D017809:Fatal Outcome; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis; D005323:Fetal Monitoring; D006321:Heart / Q000033:anatomy & histology; D006333:Heart Failure / Q000209:etiology; D006340:Heart Rate, Fetal; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000175:diagnosis; D007231:Infant, Newborn; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D011247:Pregnancy; D012769:Shock / Q000209:etiology; D016216:Ultrasonography, Prenatal