Acute Myocardial Infarction in A 19-Year-Old Splenectomized Man

Roongsangmanoon W, MD1, Wongsoasup A, MD1, Rattanajaruskul N, MD1, Angkananard T, MD1

Affiliation : 1 Department of Medicine, HRH Princess Maha Chakri Sirindhorn Medical Center, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand

Myocardial infarction is rare and catastrophic thrombosis in splenectomized thalassemia patient. The authors report a young thalassemia patient who underwent splenectomy for 3 years suffered cardiac arrest with no bystander cardiopulmonary resuscitation. He was diagnosed with acute ST-segment elevation myocardial infarction and cardiogenic shock. Primary percutaneous coronary intervention was performed successfully. Over the following days, the patient continued to deteriorate with septic shock and died. Arterial thrombosis can happen in thalassemia patient. Possible thrombotic mechanism and prevention of thrombosis in such patients are discussed.

Keywords : Myocardial infarction, Thalassemia, Splenectomy

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