Bernstein D, Finkbeiner W E, Soifer S, Teitel D
Pediatr Cardiol. 1986;6(6):313-7.
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.
围生期心肌梗死是一种罕见的情况，通常与先天性心脏病变或孤立的冠状动脉异常有关。在没有结构性心脏病的情况下，最常见的病因是宫内窒息和血栓栓塞性冠状动脉闭塞。反常栓塞通常源于静脉导管或脐静脉内的血栓，并通过正常的胎儿循环途径到达冠状动脉循环。我们描述了一例因宫内肾静脉血栓形成继发冠状动脉血栓栓塞导致的围生期心肌梗死病例。强调了生前准确诊断所遇到的困难以及围生期心肌梗死的预后不良。
