Myocardial infarction in a 24-year-old woman with secondary antiphospholipid syndrome - a case report. A case of a 24-year-old female patient with a secondary antiphospholipid syndrome is described. She had a history of pulmonary embolism occurring after miscarriage. One month later she was admitted to the hospital due to acute myocardial infarction. Coronary angiography revealed distal occlusions in the left anterior descending and left circumflex coronary arteries. Angioplasty was not effective. She received thrombolysis, heparin and finally improved after administration of high doses of corticosteroids. She was discharged from hospital, however, died four weeks later. The treatment and complications of the antiphospholipid syndrome are discussed.