Key result
Primary percutaneous coronary intervention with bare metal stent placement successfully treated a 40-year-old pregnant woman with acute ST-elevation myocardial infarction, who remained asymptomatic at 6 years.
Why the study?
Acute myocardial infarction during childbearing age is rare, motivating the report of management in a pregnant patient.
Case Report (n=1)
No
Primary PCI is a feasible and life-saving treatment for pregnant women presenting with acute STEMI, though fetal risks remain high.
Primary PCI may be feasible in pregnant STEMI despite fetal risks; single case leaves generalizability and optimal strategy open.
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 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.
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Boukerche et al. (2020) conducted a case report in Acute ST Elevation Myocardial Infarction (n=1). Primary percutaneous coronary intervention (angioplasty with bare metal stent) was evaluated on Clinical recovery and angiographic success. Primary percutaneous coronary intervention with bare metal stent placement successfully treated a 40-year-old pregnant woman with acute ST-elevation myocardial infarction, who remained asymptomatic at 6 years.
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