Abstract • Myocardial infarction is rarely recognized in the newborn. We report two cases in which the infant had a normal heart with normal coronary arteries. A review of previously described cases suggests that the most frequent cause of neonatal myocardial infarction is coronary artery occlusion secondary to paradoxical thromboembolization. It is speculated that infarction also can result from coronary hypoperfusion in asphyxiated infants. This report serves to remind the clinician that myocardial infarction can occur in the neonatal period and that an ECG should be obtained when evaluating a newborn with acute onset of shock. (Am J Dis Child 134:759-762, 1980) References 1. Stryker WA: Coronary occlusive disease in infants and children . Am J Dis Child 71:280-300, 1946. 2. Ravich RM, Rosenblatt P: Myocardial infarction in the newborn infant . J Pediatr 31:266-273, 1947.Crossref 3. Richart R, Benirschke K: Myocardial infraction in the perinatal period . J Pediatr 55:706-712, 1959.Crossref 4. Gault MH, Usher R: Coronary thrombosis with myocardial infarction in a newborn infant . N Engl J Med 263:379-382, 1960.Crossref 5. Fagan LF, Thurmann N, LoPiccolo VF Jr, et al: Myocardial infarction in the perinatal period with long-term survival . J Pediatr 69:378-382, 1966.Crossref 6. Hauwaert Van der LG, Loos MC, Verhaeghe LK: Myocardial infarction during exchange transfusion in a newborn infant . J Pediatr 70:745-750, 1967.Crossref 7. Arthur A, Cottom D, Evans R, et al: Myocardial infarction in a newborn infant . J Pediatr 73:110-114, 1968. 8. Berry CL: Myocardial infarction in a neonate . Br Heart J 32:412-415, 1970.Crossref 9. Guller B, Bozic C: Right-to-left shunting through a patent ductus arteriosus in a newborn with myocardial infarction . Cardiology 57:348-357, 1972.Crossref 10. Iannone LA, Duritz G, McCarty RJ: Myocardial infarction in the newborn: A case report complicated by cardiogenic shock and associated with normal coronary arteries . Am Heart J 89:232-235, 1975.Crossref 11. Grubbauer HM, Schutt B, Gertsch M, et al: Herzinfarkt nach Embolie bei einem Neugeborenen . Helv Paediat Acta 31:53-59, 1976. 12. Fletcher MA, Meyer M, Kirkpatrick SE, et al: Myocardial infarction associated with umbilical cord hematoma . J Pediatr 89:806-807, 1976.Crossref 13. Sapire DW, Markowitz R, Valdes-Dapena M, et al: Thrombosis of the left coronary artery in a newborn infant . J Pediatr 90:957-959, 1977.Crossref 14. Franciosi RA, Blanc WA: Myocardial infarction in infants and children: I. A necropsy study in congenital heart disease . J Pediatr 73:309-319, 1968.Crossref 15. Bor I: Myocardial infarction and ischemic heart disease in infants and children . Arch Dis Child 44:268-281, 1969.Crossref 16. Askenazi J, Nadas AS: Anomalous left coronary artery originating from the pulmonary artery: Report on 15 cases . Circulation 51:976-987, 1975.Crossref 17. Hanes TE, Page DL, Graham TB, et al: Regional myocardial infarction of low-flow type in a neonate with tricuspid atresia . Arch Pathol Lab Med 101:86-88, 1977. 18. Gadoth N, Kornmehl P, Gueron M, et al: Hemorrhagic infarction of the myocardium in a newborn with haemoglobin H disease and erythroblastosis . Acta Paediatr Scand 67:245-247, 1978.Crossref 19. Favara BE, Franciosi RA, Butterfield LJ: Disseminated intravascular and cardiac thrombosis of the neonate . Am J Dis Child 127:197-204, 1974. 20. Marriott HJL: Practical Electrocardiography . Baltimore, Williams & Wilkins Co, 1972, pp 238-247. 21. Moon HD: Coronary arteries in fetuses, infants and juveniles . Circulation 16:263-267, 1957.Crossref 22. Kitterman JA, Phibbs RH, Tooley WH: Catheterization of umbilical vessels in newborn infants . Pediatr Clin North Am 17:895-912, 1970. 23. Rowe RD, Hoffman T: Transient myocardial ischemia of the newborn infant: A form of severe cardiorespiratory distress in full-term infants . J Pediatr 81:243-250, 1972.Crossref 24. Way GL, Pierce JR, Wolfe RR, et al: ST depression suggesting ischemia in neonates with respiratory distress syndrome and patent ductus arteriosus . J Pediatr 95:609-610, 1979.Crossref 25. Rowe RD, Izukawa T, Mulholland HC, et al: Nonstructural heart disease in the newborn . Arch Dis Child 53:726-730, 1978.Crossref 26. Johnson AD, Detwiler JH: Coronary spasm, variant angina and recurrent myocardial infarction . Circulation 55:947-950, 1977.Crossref 27. Athanassopoulos CB, Maroutsos CG: Prinzmetal's angina . Br Heart J 39:911-913, 1977.Crossref 28. Arnett EN, Roberts WC: Acute myocardial infarction and angiocardiographically normal coronary arteries, an unproven combination . Circulation 53:395-399, 1976.Crossref 29. Yasue H, Touyama M, Kato H, et al: Prinzmetal's variant form of angina as a manifestation of α-adrenergic receptor-mediated coronary artery spasm: Documentation by coronary arteriography . Am Heart J 91:148-155, 1977.Crossref
American Journal of Diseases of Children – American Medical Association
Published: Aug 1, 1980
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