ACUTE MYOCARDIAL-INFARCTION IN PREGNANCY WITH SUBSEQUENT MEDICAL AND SURGICAL-MANAGEMENT

Background: Myocardial infarction is a rare event in pregnancy that re quires medical stabilization with possible surgical interventions. Cas e: A 37-year-old woman developed an anterior wall myocardial infarctio n secondary to severe coronary artery disease during the early third t rimester of pregnancy. The patient was managed with multiple modalitie s to stabilize her condition and prolong the gestation. The salient po ints in the management included: defibrillation and pharmacologic agen ts, intra-aortic balloon pump, coronary artery bypass graft surgery us ing a cardiopulmonary bypass pump while maintaining continuous fetal h eart rate monitoring, and delivery of the neonate at term. Conclusion: Aggressive management of this patient allowed continuation of pregnan cy with good outcome for mother and neonate.