Document Detail

Perinatal myocardial infarction: a case report and review of the literature.
MedLine Citation:
PMID:  3748837     Owner:  NLM     Status:  MEDLINE    
Myocardial infarction in the perinatal period is a rare occurrence, usually associated with congenital heart lesions or isolated coronary artery abnormalities. In the absence of structural heart disease the most common etiologies are intrauterine asphyxia and thromboembolic coronary occlusion. A paradoxical embolus usually arises from a thrombus in the ductus venosus or umbilical vein and reaches the coronary circulation via normal fetal circulatory pathways. We describe a case of perinatal myocardial infarction due to thromboembolism of the coronary artery secondary to an intrauterine renal vein thrombosis. The difficulties encountered in making an accurate premortem diagnosis are emphasized as well as the poor prognosis of myocardial infarction in the perinatal period.
D Bernstein; W E Finkbeiner; S Soifer; D Teitel
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Pediatric cardiology     Volume:  6     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:  1986  
Date Detail:
Created Date:  1986-10-06     Completed Date:  1986-10-06     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  313-7     Citation Subset:  IM    
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MeSH Terms
Coronary Disease / complications,  etiology,  pathology
Infant, Newborn
Myocardial Infarction / etiology*,  pathology,  physiopathology
Myocardium / pathology
Renal Veins
Thromboembolism / complications,  etiology,  pathology
Thrombosis / complications,  pathology
Uterus / blood supply
Grant Support

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