[Acute myocardial infarction in childhood. Report of 2 cases].
We review two cases of agenesis of the left coronary trunk, a very rare congenital malformation. Both patients presented at our children's hospital with acute myocardial infarction, the mortality rate of which is high in infancy and childhood. The most common causes of myocardial infarction are anomalous origin of left coronary artery and Kawasaki disease. Less common causes are myocarditis and absence of the left coronary artery. The patients' main symptoms of acute myocardial infarction were non-specific--dyspnea and feeding problems--as is usual in acute coronary disease in children. A definitive diagnosis was made by cardiac catheterization. Both patients required surgery: saphenous vein bypass graft in one case and heart transplantation in the second. We describe both cases and review the literature.
Gredilla Díaz
E
E
Servicio de Anestesia y Reanimación, Hospital Universitario La Paz., Madrid.
Rodríguez Pérez
E
E
Pérez Ferrer
A
A
de Vicente Sánchez
J C
JC
García Vega
M I
MI
D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery