[Acute myocardial infarct in the puerperium. A case report and review of the literature].

The occurrence of myocardial infarction during a pregnancy is rare event and it is even less frequent during the puerperium. The literature reports only 23 cases of myocardial infarction during the puerperium. We report a case of a woman of 26 years of age without coronary risk factors, who on the seventh day postpartum presented an acute myocardial infarction of the anterior and lateral walls. On the ninth day postpartum by means of cardiac catheterization we were able to demonstrate the presence of normal coronary arteries and a left ventricular ejection fraction of 50%. Laboratory and other diagnostic tests did not demonstrate the presence of known etiological factors associated with myocardial infarction.