M H Ascarelli1, A R Grider, H W Hsu. 1. Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Ohio, USA.
Abstract
BACKGROUND: Acute myocardial infarction, a rare peripartum event, is accompanied by significant maternal and fetal mortality. The greatest maternal mortality is realized when myocardial infarction occurs during the third trimester of pregnancy, but there is very little information about the use of acute interventional therapy during pregnancy. CASE: We present a patient who sustained an acute anterior infarction during the third trimester of pregnancy; she underwent immediate cardiac catheterization and coronary angioplasty within 90 minutes of onset of chest pain for high-grade stenosis of the left anterior descending and diagonal coronary vessels. Maternal and fetal outcome was good. CONCLUSION: Immediate percutaneous transluminal coronary angioplasty in the treatment of acute myocardial infarction during pregnancy is a viable treatment option in selected patients.
BACKGROUND:Acute myocardial infarction, a rare peripartum event, is accompanied by significant maternal and fetal mortality. The greatest maternal mortality is realized when myocardial infarction occurs during the third trimester of pregnancy, but there is very little information about the use of acute interventional therapy during pregnancy. CASE: We present a patient who sustained an acute anterior infarction during the third trimester of pregnancy; she underwent immediate cardiac catheterization and coronary angioplasty within 90 minutes of onset of chest pain for high-grade stenosis of the left anterior descending and diagonal coronary vessels. Maternal and fetal outcome was good. CONCLUSION: Immediate percutaneous transluminal coronary angioplasty in the treatment of acute myocardial infarction during pregnancy is a viable treatment option in selected patients.