Ciraulo D A, Markovitz A
Arch Intern Med. 1979 Sep;139(9):1046-7.
The case of a 36-year-old multigravid woman in whom acute myocardial infarction developed at five months post partum is described. Coronary angiography performed 11 days following myocardial infarction demonstrated a thrombus-like lesion in the coronary artery branch supplying the area of myocardial damage with no other evidence of coronary artery disease. This finding suggests that the development of a coronary artery thrombus is part of the mechanism of myocardial infarction in this case where the phenomenon of angiographically normal coronary arteries following myocardial infarction has bee- described. The mechanism leading to the development of a coronary thrombus in pregnancy is obscure, but may be similar to other clotting abnormalities complicating the third trimester and puerperium.
本文描述了一名36岁经产妇，在产后5个月发生急性心肌梗死的病例。心肌梗死后11天进行的冠状动脉造影显示，在供应心肌损伤区域的冠状动脉分支中有一个血栓样病变，没有其他冠状动脉疾病的证据。这一发现表明，冠状动脉血栓形成是该病例中心肌梗死机制的一部分，在此病例中已描述了心肌梗死后冠状动脉造影正常的现象。妊娠期导致冠状动脉血栓形成的机制尚不清楚，但可能与妊娠晚期和产褥期并发的其他凝血异常相似。
