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. 1987 Dec;14(4):422–426.

Severe Diffuse Obstructive Coronary Artery Disease in an Infant

In-Sook Park 1, Roberto Lufschanowski 1, Paolo Angelini 1, Robert D Leachman 1
PMCID: PMC324768  PMID: 15227300

Abstract

Severe diffuse obstruction of the coronary arteries was diagnosed in an 18-month-old girl who presented with signs and symptoms of severe congestive cardiomyopathy. Most reported cases of myocardial infarction in neonates or infants have been secondary to obstruction of a single major coronary artery owing to thrombosis or embolism; diffuse multiple obstruction involving the entire coronary artery system, as in our case, has not previously been described. Although the exact cause of the obstruction remained unknown, the most likely mechanism was in situ thrombosis. (Texas Heart Institute Journal 1987; 14:422-426)

Keywords: Myocardial infarction

Keywords: coronary disease

Keywords: cardiomyopathy, congestive

Keywords: thrombosis

Keywords: pediatric cardiology

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arthur A., Cottom D., Evans R., Spencer H. Myocardial infarction in a newborn infant. J Pediatr. 1968 Jul;73(1):110–114. [PubMed] [Google Scholar]
  2. Berry C. L. Myocardial infarction in a neonate. Br Heart J. 1970 May;32(3):412–415. doi: 10.1136/hrt.32.3.412. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Bharati S., Fisher E. A., Yaniz R. A., Hastreiter A. R., Lev M. Infarct of the myocardium with aneurysm in a 13-year-old girl. Chest. 1975 Mar;67(3):369–373. doi: 10.1378/chest.67.3.369. [DOI] [PubMed] [Google Scholar]
  4. Bor I. Myocardial infarction and ischaemic heart disease in infants and children. Analysis of 29 cases and review of the literature. Arch Dis Child. 1969 Apr;44(234):268–281. doi: 10.1136/adc.44.234.268. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Fletcher M. A., Meyer M., Kirkpatrick S. E., Papelbaum S., Gluck L., Benirschke K. Myocardial infarction associated with umbilical cord hematoma. J Pediatr. 1976 Nov;89(5):806–807. doi: 10.1016/s0022-3476(76)80812-8. [DOI] [PubMed] [Google Scholar]
  6. Franciosi R. A., Blanc W. A. Myocardial infarcts in infants and children. I. A necropsy study in congenital heart disease. J Pediatr. 1968 Sep;73(3):309–319. doi: 10.1016/s0022-3476(68)80106-4. [DOI] [PubMed] [Google Scholar]
  7. GAULT M. H., USHER R. Coronary thrombosis with myocardial infarction in a newborn infant. Clinical, electrocardiographic and post-mortem findings. N Engl J Med. 1960 Aug 25;263:379–382. doi: 10.1056/NEJM196008252630803. [DOI] [PubMed] [Google Scholar]
  8. Ishikawa S., Segar W. E., Gilbert E. F., Burkholder P. M., Levy J. M., Viseskul C. Myocardial infarct in a child with systemic lupus erythematosus. Am J Dis Child. 1978 Jul;132(7):696–699. doi: 10.1001/archpedi.1978.02120320056013. [DOI] [PubMed] [Google Scholar]
  9. Kilbride H., Way G. L., Merenstein G. B., Winfield J. M. Myocardial infarction in the neonate with normal heart and coronary arteries. Am J Dis Child. 1980 Aug;134(8):759–762. doi: 10.1001/archpedi.1980.02130200029010. [DOI] [PubMed] [Google Scholar]
  10. Sapire D. W., Markowitz R., Valdes-Dapena M., Engel S. Thrombosis of the left coronary artery in a newborn infant. J Pediatr. 1977 Jun;90(6):957–959. doi: 10.1016/s0022-3476(77)80569-6. [DOI] [PubMed] [Google Scholar]

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