Autopsy on the body of a girl aged 4 months and 8 days revealed coronary thrombosis. A photograph of the heart (fig. 1) shows the thrombus in the vessel cut transversely, and the distal portion of the vessel distended by the thrombus in situ. The wall of the left ventricle shows dimpling due to thinning of the ventricular wall. A detailed description of the pathologic process appears later in this report.
REPORT OF CASE
History.—One month previous to death, the patient had been ill for four days. At that time she suffered from an infection of the upper respiratory tract, which involved the nose, the throat and the trachea. At one examination, the ear-drums appeared pink with slight injection, but the symptoms in the ear were at no time cause for anxiety. The lungs were not involved. Meningeal symptoms, consisting of diminished pupillary reflexes, slight spasticity of the extremities
RAMSAY RE, CRUMRINE RM. CORONARY THROMBOSISIN AN INFANT AGED FOUR MONTHS. Am J Dis Child. 1931;42(1):107–110. doi:10.1001/archpedi.1931.01940130114010