A miraculous pregnancy following a myocardial infarction and coronary artery bypass grafting: a case report and review of literature

Anita Yadav; Avinash Prakash; Jyoti Baghel; Anusha Kamath; Rajneesh Rawat

doi:10.18203/2320-1770.ijrcog20231253

Authors

Anita Yadav Department of Obstetrics and Gynaecology, AIIMS, Nagpur, Maharashtra, India
Avinash Prakash Department of Anaesthesiology, AIIMS Nagpur, Maharashtra, India
Jyoti Baghel Department of Obstetrics and Gynaecology, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India https://orcid.org/0000-0002-9049-8230
Anusha Kamath Department of Obstetrics and Gynaecology, AIIMS, Nagpur, Maharashtra, India
Rajneesh Rawat Department of General Surgery, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20231253

Keywords:

High risk pregnancy, Coronary artery, Bypass grafting, Management

Abstract

Cardiovascular disease is estimated to occur in 0.4-4.1% of pregnant women, whereas coronary heart disease complicates only 0.01% of all pregnancies. In recent times, MI has been observed to occur more frequently in young women. This might be attributed to the fact that women are deciding to become pregnant at advanced age. In such high-risk cases, proper pre-pregnancy, antenatal, intrapartum and post-partum care should be taken. Pregnant women with heart disease should be managed by a multidisciplinary team approach comprising of obstetricians, intensivists, cardiologists and neonatologists. Here, a case of pregnant woman with past history of MI; treated with coronary artery bypass grafting (CABG) is presented and the management is highlighted.

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References

Janion-Sadowska A, Sadowski M, Kurzawski J. Pregnancy after acute coronary syndrome: a proposal for patients’ management and a literature review. Biomed Res Int. 2013;2013:957027.

Makhija N, Tayade S, Tilva H, Chadha A, Thatere U. Pregnancy After Cardiac Surgery. Cureus. 2022;14(11):e31133.

Elkayam U, Jalnapurkar S, Barakkat MN, Khatri N, Kealey AJ, Mehra A et al. Pregnancy-associated acute myocardial infarction: a review of contemporary experience in 150 cases between 2006 and 2011. Circulation. 2014;129(16):1695-702.

Chohan U, Afshan G, Mone A. Anaesthesia for caesarean section in patients with cardiac disease. J Pak Med Assoc. 2006;56(1):32-8.

Janion-Sadowska A, Sadowski M, Kurzawski J, Zandecki L, Janion M. Pregnancy after acute coronary syndrome: a proposal for patients' management and a literature review. Biomed Res Int. 2013;2013:957027.

Janion-Sadowska A, Sadowski M, Zandecki L, Kurzawski J, Polewczyk A, Janion M. Pregnancy after myocardial infarction and coronary artery bypass grafting - is it safe? Postepy Kardiol Interwencyjnej. 2014;10(1):29-31.

Frenkel Y, Barkai G, Reisin L, Rath S, Mashiach S, Battler A. Pregnancy after myocardial infarction: are we playing safe? Obstet Gynecol. 1991;77(6):822-5.

Meng ML, Arendt KW. Obstetric Anesthesia and Heart Disease: Practical Clinical Considerations. Anesthesiology. 2021;135(1):164-83.

Cohen KM, Minehart RD, Leffert LR. Anesthetic Treatment of Cardiac Disease During Pregnancy. Curr Treat Options Cardiovasc Med. 2018;20(8):66.