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...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-11-01
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| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40981-021-00484-2 |
| _version_ | 1818894450708971520 |
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| 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 |
| collection | DOAJ |
| 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balloon pump (IABP) was inserted on postpartum day (PD) 10 with a peripartum cardiomyopathy (PPCM), which was withdrawn on PD 30 after medical treatment including anti-prolactin drugs.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 It was withdrawn on PD 85 after improvement of left ventricular ejection fraction (LVEF).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 It was withdrawn on PD 386 after recovery of LVEF.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. |
| first_indexed | 2024-12-19T18:28:41Z |
| format | Article |
| id | doaj.art-8b4812b467fc43b8afbdb88a954efe95 |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-12-19T18:28:41Z |
| publishDate | 2021-11-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-8b4812b467fc43b8afbdb88a954efe952022-12-21T20:10:47ZengSpringerOpenJA Clinical Reports2363-90242021-11-01711510.1186/s40981-021-00484-2Outcomes of severe peripartum cardiomyopathy and mechanical circulatory support: a case seriesYuki Kiriyama0Yuki Kinishi1Daisuke Hiramatu2Akinori Uchiyama3Yuji Fujino4Koichi Toda5Chiyo Ootaki6Department of Anesthesiology and Intensive Care, Osaka University Graduate School of MedicineDepartment of Anesthesiology and Intensive Care, Osaka University Graduate School of MedicineDepartment of Anesthesiology and Intensive Care, Osaka University Graduate School of MedicineDepartment of Anesthesiology and Intensive Care, Osaka University Graduate School of MedicineDepartment of Anesthesiology and Intensive Care, Osaka University Graduate School of MedicineDepartment of Cardiovascular Surgery, Osaka University Graduate School of MedicineDepartment of Anesthesiology and Intensive Care, Osaka University Graduate School of MedicineAbstract 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.https://doi.org/10.1186/s40981-021-00484-2CardiomyopathyHeart failurePregnancyMechanical circulatory supportBridge to transplantationBridge to recovery |
| spellingShingle | 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 JA Clinical Reports Cardiomyopathy Heart failure Pregnancy Mechanical circulatory support Bridge to transplantation Bridge to recovery |
| title | 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_short | 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 |
| topic | Cardiomyopathy Heart failure Pregnancy Mechanical circulatory support Bridge to transplantation Bridge to recovery |
| url | https://doi.org/10.1186/s40981-021-00484-2 |
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