A Case of Neonatal Myocardial Infarction with Structurally Normal Coronary Arteries

ABSTRACT

Myocardial infarction in the newborn is usually seen in association with congenital heart disease, for example anomalous origin of the left coronary artery, tricuspid atresia and left ventricular outflow obstruction. However, it is very rare in infants with structurally normal coronary artery. In infants with structurally normal hearts and coronary arteries, the most common causes of myocardial infarction are perinatal asphyxia and thromboembolic occlusion. We experienced a case of neonatal myocardial infarction with structurally normal coronary arteries complicated sepsis and hypoglycemia. The diagnosis of myocardial infarction was made by EKG and increase of plasma myocardiac enzyme. We report this case with related literature.