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

JA Clinical Reports

Akinori Uchiyama¹  Chiyo Ootaki¹  Yuki Kinishi¹  Daisuke Hiramatu¹  Yuji Fujino¹  Yuki Kiriyama¹  Koichi Toda² 

[1] Department of Anesthesiology and Intensive Care, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita City, 565-0871, Osaka, Japan;Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan;

关键词: Cardiomyopathy;    Heart failure;    Pregnancy;    Mechanical circulatory support;    Bridge to transplantation;    Bridge to recovery;   

DOI  :  10.1186/s40981-021-00484-2

来源: Springer

【 摘 要 】

BackgroundWe present three cases of severe peripartum cardiomyopathy (PPCM) that required mechanical circulatory supports.Case presentationCase 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balloon pump (IABP) was inserted on postpartum day (PD) 10 with a peripartum cardiomyopathy (PPCM), which was withdrawn on PD 30 after medical treatment including anti-prolactin drugs.Case 2: A 44-year-old woman developed AHF 1 month after vaginal delivery.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 It was withdrawn on PD 85 after improvement of left ventricular ejection fraction (LVEF).Case3: A 37-year-old woman was transferred with a diagnosis of PPCM.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 It was withdrawn on PD 386 after recovery of LVEF.ConclusionAll the cases with PPCM recovered after mechanical circulatory supports and resumed social lives.

【 授权许可】

CC BY