• J Invasive Cardiol · Jun 2010

    Case Reports

    Use of intra-aortic balloon counterpulsation during emergent cesarean section in a pregnant patient with myocardial infarction.

    • Mahazarin Ginwalla, Dilip Pillai, and Sanjay Gandhi.
    • Division of Cardiology, Case Western Reserve University-Metro-Health Medical Center, Cleveland, Ohio 44109, USA.
    • J Invasive Cardiol. 2010 Jun 1;22(6):E104-6.

    AbstractThe 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.

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