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Am J Perinatol 1997; 14(2): 93-97
DOI: 10.1055/s-2007-994105
ORIGINAL ARTICLE

© 1997 by Thieme Medical Publishers, Inc.

Perinatal Myocardial Infarction in a Newborn with a Structurally Normal Heart

Jonathan Muraskas1 , Richard Besinger2 , Timothy Bell3 , Serafin DeLeon5 , Aliya Husain4
  • 1Division of Neonatology, Loyola University Medical Center, Maywood, Illinois
  • 2Department of Obstetrics/Gynecology, Loyola University Medical Center, Maywood, Illinois
  • 3Division of Pediatric Cardiology, Loyola University Medical Center, Maywood, Illinois
  • 4Department of Pediatric Cardiothoracic Surgery, Loyola University Medical Center, Maywood, Illinois
  • 5Department of Pathology, Loyola University Medical Center, Maywood, Illinois
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Publication History

Publication Date:
04 March 2008 (online)

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ABSTRACT

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.

Keywords

Perinatal period - myocardial infarction - thromboembolic occlusion