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Acute myocardial infarction with large bilateral intracoronary thrombi in a young patient with the prothrombin 20210 G-->A mutation.

A genetic variation in the 3'-UT region of the prothrombin gene, a G to A mutation at nucleotide 20210, has been associated recently with increased risk of acute myocardial infarction. We describe a case of a young patient carrying the mutation, with an AMI caused by large bilateral intracoronary thrombi, that underwent direct PTCA.