Politi A, Mameli S, Acquati F, Galli M, Zerboni S, Michi R, Ferrari G
Unità Operativa di Cardiologia, Azienda Ospedaliera Sant'Anna, Como.
Ital Heart J Suppl. 2001 Jul;2(7):795-8.
Acute myocardial infarction in pregnancy is a rare condition with substantial risk of maternal and fetal death. There is very little information about the use in this setting of percutaneous coronary interventional therapy. Together with literature review on this topic, we present the case of a 33-year-old 39-week pregnant woman who sustained during labor an acute transmural anterior myocardial infarction. Immediately after successful cesarean section, she was treated by primary percutaneous coronary angioplasty and direct stenting of the left anterior descending coronary artery with maternal and fetal excellent outcome.
妊娠期急性心肌梗死是一种罕见疾病，母婴死亡风险很高。关于在这种情况下使用经皮冠状动脉介入治疗的信息非常少。结合关于该主题的文献综述，我们报告一例33岁、孕39周的孕妇，她在分娩期间发生了急性透壁性前壁心肌梗死。剖宫产成功后，立即对她进行了直接经皮冠状动脉腔内血管成形术，并对左前降支冠状动脉进行直接支架置入术，母婴结局良好。
