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To the Editor: Ovarian hyperstimulation syndrome is one of the most severe complications following controlled ovarian stimulation. Fluid redistributes from intravascular to extravascular spaces (ie, the abdominal or pleural cavity) leading to ascites and pleural effusions. Most patients can be treated successfully with intravascular fluids and thrombosis prophylaxis. However, complications such as thrombosis and even death have been reported.¹ We report the first case, to our knowledge, of a patient with myocardial infarction after ovarian hyperstimulation syndrome.

Report of a Case.

A 35-year-old patient (77 kg, 170 cm) presented to our department with secondary male subfertility. She smoked 30 cigarettes per day. An in vitro fertilization intracytoplasmic sperm injection cycle was planned. A decapeptyl depot (3.75 mg) preparation was administered and recombinant follicle-stimulating hormone (150 IU) was started 2 weeks later. The dosage of recombinant follicle-stimulating hormone was increased to 225 IU on the fifth day, and human chorionic gonadotropin (10,000 IU) was given . . . [Full Text of this Article]

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