TITLE:
Percutaneous Coronary Intervention for a Pregnant Woman with Acute ST Elevation Myocardial Infarction: A Case Report
AUTHORS:
Farouk Boukerche, Adam Ahamat Ali, Nadia Laredj, Leila Hammou
KEYWORDS:
Pregnancy, Acute Coronary Syndrome, Primary Angioplasty, Oran-Algeria
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.10 No.6,
June
17,
2020
ABSTRACT: 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-weekpregnant 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 withplacement 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.