ACUTE MYOCARDIAL-INFARCTION DURING PREGNANCY MANAGED WITH IMMEDIATE PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY

Background: Acute myocardial infarction, a rare peripartum event, is a ccompanied by significant maternal and fetal mortality. The greatest m aternal mortality is realized when myocardial infarction occurs during the third trimester of pregnancy, but there is very little informatio n about the use of acute interventional therapy during pregnancy. Case : We present a patient who sustained an acute anterior infarction duri ng the third trimester of pregnancy; she underwent immediate cardiac c atheterization 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. Concl usion: Immediate percutaneous transluminal coronary angioplasty in the treatment of acute myocardial infarction during pregnancy is a viable treatment option in selected patients.