Coronary stenting after myocardial infarction during twin pregnancy--a case report.
OBJECTIVE
We report the case of a 46-year-old woman presenting with acute chest pain in the 20th week of a twin pregnancy after oocyte donation.


METHODS
The Patient's medical history comprised several cardiovascular risk factors, such as hypertension, obesity, hypercholesterolemia, smoking, and a positive family history. After diagnosis of myocardial infarction, coronary catheterization and stenting was performed. Ten weeks later, Cesarean was indicated because of severe superimposed preeclampsia with lung edema. Mother and babies recovered uneventfully.


CONCLUSIONS
In respect to increasing rates of higher maternal age and obesity during pregnancy, more attention to maternal health is required, particularly in programs for assisted reproductive techniques.
von Steinburg
Stephanie Pildner
SP
Frauenklinik und Poliklinik, Technische Universität München, Munich, Germany. spvs@lrz.tum.de
Klein
Evelyn
E
Langwieser
Nicolas
N
Kastrati
Adnan
A
Schneider
Karl-Theo M
KT
Zohlnhöfer
Dietlind
D
D015906:Angioplasty, Balloon, Coronary; D002585:Cesarean Section; D005260:Female; D006801:Humans; D008423:Maternal Age; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D009765:Obesity; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D059285:Pregnancy, Twin; D011296:Prenatal Diagnosis; D015607:Stents