Use of intra-aortic balloon counterpulsation during emergent cesarean section in a pregnant patient with myocardial infarction.
The intra-aortic balloon pump (IABP) is a tool to help improve myocardial perfusion, reduce afterload, and decrease myocardial demand by reducing cardiac work. We describe a unique case of an IABP placement in a pregnant woman in her third trimester with a non-ST elevation myocardial infarction. The IABP allowed safe delivery of the fetus by cesarean section prior to a successful percutaneous intervention for complex two-vessel coronary artery disease. This case report also describes the first-time use of an IABP during cesarean section.
Ginwalla
Mahazarin
M
Division of Cardiology, Case Western Reserve University-Metro-Health Medical Center, Cleveland, Ohio 44109, USA.
Pillai
Dilip
D
Gandhi
Sanjay
S
D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D002585:Cesarean Section; D003131:Combined Modality Therapy; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D009765:Obesity / Q000150:complications; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000628:therapy*; D015607:Stents