Acute myocardial infarction in an adolescent female with normal coronary arteries

Acute myocardial infarction may occur in young people with angiographically normal coronary arteries but the pathophysiol-ogy of this condition remains unknown. The possible mechanisms underlying myocardial infarction with normal coronary arteries are coronary vasospasm, thrombosis, embolization or minimal ath-erosclerosis. Smoking is an important predisposing risk factor for myocardial infarction in the presence of normal coronary arteries. We describe a case of acute myocardial infarction in a adolescent female who had normal coronary arteries according to multislice computed tomography coronary angiography results.