Myocardial Infarction in an Infant with Complete Recovery of Function

Introduction: Myocardial infarction (MI) in infants without congenital abnormality of the coronary arteries is a rare entity with high mortality. We describe our experience managing such a patient. Case: The patient was born at 32/6 weeks’ gestation with cleft lip and palate. While in the NICU, a murmur was noted and echocardiography revealed a PFO and PDA. Coronary arteries appeared to have normal origin and flow. He was discharged home at 2 months of life and remained asymptomatic. At 4 months of age he underwent myringotomy tube placement and cleft lip repair with general anesthesia. …