Perinatal Myocardial Infarction in a Newborn with a Structurally Normal Heart

Jonathan Muraskas; Richard Besinger; Timothy Bell; Serafin DeLeon; Aliya Husain

doi:10.1055/s-2007-994105

American Journal of Perinatology, Table of Contents

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

ORIGINAL ARTICLE

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

Abstract

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

Full Text