Percutaneous Coronary Intervention for a Pregnant Woman with Acute ST Elevation Myocardial Infarction: A Case Report

• 作者: Adam Ahamat Ali Farouk Boukerche Leila Hammou Nadia Laredj
• 来源期刊: 心血管病(英文)
• 学科: 医学
• 关键词: PREGNANCY Acute Coronary Syndrome Primary Angioplasty Oran-Algeria
• 年，卷（期）: 2020,（6）
• 页码范围: 357-362
• 页数: 6页
• 分类号: R54

摘要

Acute myocardial infarction in women during childbearing age is rare. We report a case of a 40-year-old female patient with no history or cardiovascular risk factors, 24-week</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">pregnant who presented with acute coronary syndrome with an ST-elevation anterior extended complicated by cardiogenic shock. Cardiac ultrasound showed systolic dysfunction of the left ventricle at 30%. Emergency coronary angiography revealed subocclusion of the proximal anterior interventricular artery. We performed a primary angioplasty with placement of a stent after balloon predilation with a satisfactory agiographic result and an improvement in the hemodynamic state. The patient gave birth by cesarean section at 30 weeks of pregnancy after a pocket rupture of infectious waters. The newborn died after 72 hours. After 6 years of evolution, the patient remained asymptomatic under medal treatment.