"Successful Pregnancy Outcome After Myocardial Infarction with PCI, a Case Report"

Abstract

Pregnancy after myocardial infarction (MI) is rare and challenging both in obstetric and cardiology clinical practice. Recently MI has been observed even in younger women. This a case of 37 year old pregnant woman (G1, para 0) that presented at our clinic in 7 gestational week for a consult. She had a history of anterior AMI with PCI /stenting to LAD 3 months earlier. She received dual antiplatelet therapy prior and during early pregnancy. After discussing the risk she decided to continue with the pregnancy which was evaluated by both cardiologist and obstetrician. Maternal echocardiography in the first, second and third trimester were uneventfull with normal range parameters. Tests for heritable thrombophilia were performed as well as monthly coagulation profile. She received ASA 100mg until 36.2 gestational week and low molecular weight heparin at a preventive dose of 60mg. By an elective caesarean section at 37 gw, male newborn was delivered with a weight of 2600g, length of 48cm, Apgar score 8/9. Operative and postoperative period were unremarkable and both mother and newborn were discharged at 5th postpartal day in a good condition. Although pregnancy after MI may be possible and safe, a multidisciplinary approach involving careful evaluation by the cardiac and obstetric team is mandatory.