Acute myocardial infarction during the early postpartum period successfully treated with tirofiban.

Acute myocardial infarction (AMI) during the early postpartum period is rare but may be associated with poor maternal outcome. We report an inferior AMI in 30-year-old woman with mitral valve replacement during early postpartum period successfully treated with tirofiban. For a patient that has got AMI due to massive thrombus and that is not suitable for percutaneous coronary intervention and has got contraindication to thrombolytic therapy, glikoprotein IIb-IIIa inhibitor (tirofiban) infusion must be kept in mind.

Emergency surgical treatment of a giant unruptured aneurysm of the ascending aorta: the importance of routine chest X-ray.

Chest X-rays can detect aortic aneurysms or other silently developing aortic or cardiac diseases. In the present study, an ascending aortic aneurysm was detected in a 20-year-old woman with a persistent cough presenting to our emergency department. A Bentall procedure was carried out under deep hypothermic circulatory arrest.