Congenital afibrinogenemia is a rare autosomic recessive blood disorder. A 30-year-old lady, known to have congenital afibrinogenemia, presented with acute anterior myocardial infarction. We managed her with dual antiplatelet therapy and atorvastatin, but her chest pain did not subside and she was transferred to the catheterization laboratory. A proximal left anterior descending artery occlusion was crossed with a floppy wire. Angioplasty was performed successfully with a bare metal stent, and her symptoms resolved completely.
KumarNPadma KumarRRameshBGargN. Afibrinogenaemia: a rare cause of young myocardial infarct. Singapore Med J2008; 49: e104–e106.
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MghaiethFMizouniHMbarkiSAyariJTrabelsiRMoussaNB. Acute myocardial infarction in a patient with hypofibrinogenemia: a case report. J Med Case Rep2011; 5: 582–582.
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RohaniAAkbariVMoradianKMalekzadeJ. Combining white blood cell count and thrombosis for predicting in-hospital outcomes after acute myocardial infraction. J Emerg Trauma Shock2011; 4: 351–354.
