Outcomes of severe peripartum cardiomyopathy and mechanical circulatory support: a case series

BACKGROUND: We present three cases of severe peripartum cardiomyopathy (PPCM) that required mechanical circulatory supports. CASE PRESENTATION: Case 1: A 33-year-old woman developed acute heart failure (AHF) after normal spontaneous delivery. Intra-aortic balloon pump (IABP) was inserted on postpart...

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Detalles Bibliográficos
Autores principales: Kiriyama, Yuki, Kinishi, Yuki, Hiramatu, Daisuke, Uchiyama, Akinori, Fujino, Yuji, Toda, Koichi, Ootaki, Chiyo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8560865/
https://www.ncbi.nlm.nih.gov/pubmed/34725740
http://dx.doi.org/10.1186/s40981-021-00484-2
Descripción
Sumario:BACKGROUND: We present three cases of severe peripartum cardiomyopathy (PPCM) that required mechanical circulatory supports. CASE PRESENTATION: Case 1: A 33-year-old woman developed acute heart failure (AHF) after normal spontaneous delivery. Intra-aortic balloon pump (IABP) was inserted on postpartum day (PD) 10 with a peripartum cardiomyopathy (PPCM), which was withdrawn on PD 30 after medical treatment including anti-prolactin drugs. Case 2: A 44-year-old woman developed AHF 1 month after vaginal delivery. IABP or extra-corporeal membrane oxygenation (ECMO) was not effective and a biventricular assist device was inserted. It was withdrawn on PD 85 after improvement of left ventricular ejection fraction (LVEF). Case3: A 37-year-old woman was transferred with a diagnosis of PPCM. Cardiac function unimproved by IABP or ECMO, and a left ventricular assist device was implanted. It was withdrawn on PD 386 after recovery of LVEF. CONCLUSION: All the cases with PPCM recovered after mechanical circulatory supports and resumed social lives.

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