Sharma Gyarsi Lal, Loubeyre Christophe, Morice Marie Claude
Institut Cardiovasculaire Paris Sud, Quincy, France.
J Invasive Cardiol. 2002 Jun;14(6):359-62.
Acute myocardial infarction during pregnancy, though rare, is nevertheless associated with a high mortality rate ranging from 37 50%. Primary angioplasty is the treatment of choice for acute myocardial infarction during pregnancy. There are reports of high vascular bleeding complications when using the transfemoral approach as well as increased morbidity, longer hospital stay and higher hospital cost. We present a case of successful primary angioplasty in acute myocardial infarction during pregnancy via the transradial approach without complications. The patient had an uncomplicated recovery with normal left ventricular function.
妊娠期急性心肌梗死虽然罕见，但死亡率高达37%至50%。原发性血管成形术是妊娠期急性心肌梗死的首选治疗方法。有报道称，采用经股动脉途径时血管出血并发症发生率高，且发病率增加、住院时间延长和住院费用更高。我们报告一例通过桡动脉途径成功进行原发性血管成形术治疗妊娠期急性心肌梗死的病例，且无并发症发生。患者恢复顺利，左心室功能正常。
