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06:01
A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
Published on: August 18, 2015
Association of stroke and myocardial infarction in children
Neuropediatrics
|February 1, 1982
Insights
A congenital coronary artery fistula caused a myocardial infarction in a 9-year-old boy, leading to a cerebrovascular accident (stroke). This rare pediatric case highlights myocardial infarction as a potential embolic source in children.
Area of Science:
- Pediatric Cardiology
- Pediatric Neurology
- Congenital Heart Disease
Background:
- Myocardial infarction (MI) is uncommon in children.
- Cerebrovascular accident (CVA) in children can have various causes, including embolic events.
- Congenital coronary artery anomalies are rare but significant pediatric cardiac conditions.
Observation:
- A 9-year-old boy presented with a cerebrovascular accident (stroke).
- The patient had a history of myocardial infarction with mural thrombi.
- The myocardial infarction was attributed to a congenital coronary artery fistula originating from the left coronary artery and draining into the right atrium.
Findings:
- The congenital coronary artery fistula was identified as the cause of the myocardial infarction.
- Mural thrombi resulting from the myocardial infarction were present.
- The case demonstrates a rare pathway for embolic stroke in a pediatric patient.
Implications:
- This case underscores the importance of considering myocardial infarction as a source of embolic stroke in pediatric patients.
- Congenital coronary artery fistulas should be investigated in children presenting with unexplained myocardial infarction.
- Further research is needed to understand the long-term outcomes and management of pediatric myocardial infarction secondary to coronary artery fistulas.
Abstract:
A 9-year-old boy with cerebrovascular accident (CVA) and old myocardial infarction with mural thrombi is reported. The cause of the myocardial infarction was congenital coronary artery fistula originating from the left coronary artery and emptying into the right atrium. Although a common cause of strokes in adults, myocardial infarction has infrequently been reported as the source of emboli in children.
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