Recurrent acute stent thrombosis and myocardial infarction in a young patient.

Myocardial infarctionin patients under the age of 45 is considered rare occurring in approximately 6-10% of the general population. In many cases, premature coronary atherosclerosis plays an important causative role, however about 20% of young adult coronary thrombosis can be attributed to hypercoagulability. In this article, we present a 43 year old patient with recurrent coronary thrombosis. While an initial presentation of acute myocardial infarction appeared driven by common re-thrombosis and acute stent thrombosis revealed a hypercoagulable state. This case highlights challenges in management of acute myocardial infarction and hypercoagulable states. It emphasizes the vigilance that must be exercised in generating differential diagnoses for coronary thrombosis.