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

Abstract 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 p...

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Autores principales: Yuki Kiriyama, Yuki Kinishi, Daisuke Hiramatu, Akinori Uchiyama, Yuji Fujino, Koichi Toda, Chiyo Ootaki
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Publicado: SpringerOpen 2021
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spelling oai:doaj.org-article:8b4812b467fc43b8afbdb88a954efe952021-11-08T11:18:13ZOutcomes of severe peripartum cardiomyopathy and mechanical circulatory support: a case series10.1186/s40981-021-00484-22363-9024https://doaj.org/article/8b4812b467fc43b8afbdb88a954efe952021-11-01T00:00:00Zhttps://doi.org/10.1186/s40981-021-00484-2https://doaj.org/toc/2363-9024Abstract 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balloon pump (IABP) was inserted on postpartum day (PD) 10 with a peripartum cardiomyopathy (PPCM), which was withdrawn on PD 30 after medical treatment including anti-prolactin drugs.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 It was withdrawn on PD 85 after improvement of left ventricular ejection fraction (LVEF).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 It was withdrawn on PD 386 after recovery of LVEF.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.Yuki KiriyamaYuki KinishiDaisuke HiramatuAkinori UchiyamaYuji FujinoKoichi TodaChiyo OotakiSpringerOpenarticleCardiomyopathyHeart failurePregnancyMechanical circulatory supportBridge to transplantationBridge to recoveryAnesthesiologyRD78.3-87.3Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENJA Clinical Reports, Vol 7, Iss 1, Pp 1-5 (2021)
institution DOAJ
collection DOAJ
language EN
topic Cardiomyopathy
Heart failure
Pregnancy
Mechanical circulatory support
Bridge to transplantation
Bridge to recovery
Anesthesiology
RD78.3-87.3
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
spellingShingle Cardiomyopathy
Heart failure
Pregnancy
Mechanical circulatory support
Bridge to transplantation
Bridge to recovery
Anesthesiology
RD78.3-87.3
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
Yuki Kiriyama
Yuki Kinishi
Daisuke Hiramatu
Akinori Uchiyama
Yuji Fujino
Koichi Toda
Chiyo Ootaki
Outcomes of severe peripartum cardiomyopathy and mechanical circulatory support: a case series
description Abstract 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.
format article
author Yuki Kiriyama
Yuki Kinishi
Daisuke Hiramatu
Akinori Uchiyama
Yuji Fujino
Koichi Toda
Chiyo Ootaki
author_facet Yuki Kiriyama
Yuki Kinishi
Daisuke Hiramatu
Akinori Uchiyama
Yuji Fujino
Koichi Toda
Chiyo Ootaki
author_sort Yuki Kiriyama
title Outcomes of severe peripartum cardiomyopathy and mechanical circulatory support: a case series
title_short Outcomes of severe peripartum cardiomyopathy and mechanical circulatory support: a case series
title_full Outcomes of severe peripartum cardiomyopathy and mechanical circulatory support: a case series
title_fullStr Outcomes of severe peripartum cardiomyopathy and mechanical circulatory support: a case series
title_full_unstemmed Outcomes of severe peripartum cardiomyopathy and mechanical circulatory support: a case series
title_sort outcomes of severe peripartum cardiomyopathy and mechanical circulatory support: a case series
publisher SpringerOpen
publishDate 2021
url https://doaj.org/article/8b4812b467fc43b8afbdb88a954efe95
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