Acute myocardial infarction in pregnancy with subsequent medical and surgical management

David Garry, Enid Leikin, Arlen G. Fleisher, Nergesh Tejani

Research output: Contribution to journalArticlepeer-review

42 Scopus citations


Background: Myocardial infarction is a rare event in pregnancy that requires medical stabilization with possible surgical interventions. Case: A 37-year-old woman developed an anterior wall myocardial infarction secondary to severe coronary artery disease during the early third trimester of pregnancy. The patient was managed with multiple modalities to stabilize her condition and prolong the gestation. The salient points in the management included: defibrillation and pharmacologic agents, intra-aortic balloon pump, coronary artery bypass graft surgery using a cardiopulmonary bypass pump while maintaining continuous fetal heart rate monitoring, and delivery of the neonate at term. Conclusion: Aggressive management of this patient allowed continuation of pregnancy with good outcome for mother and neonate.

Original languageEnglish (US)
Pages (from-to)802-804
Number of pages3
JournalObstetrics and gynecology
Issue number5 PART 2
StatePublished - 1996

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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