Key result
Temporary MCS supports full cardiovascular recovery to ~55% LVEF in peripartum cardiomyopathy.
Why the study?
Peripartum cardiomyopathy is a rare but potentially fatal disease requiring individualized management and early diagnosis.
Case Report (n=1)
No
Demonstrates that temporary mechanical circulatory support and multidisciplinary surgical/neurointerventional management can successfully bridge a patient with life-threatening peripartum cardiomyopathy and severe thromboembolic complications to complete myocardial and neurological recovery.
Supports temporary MCS bridging in select PPCM cases with complications; leaves open optimal selection and prospective validation.
Peripartum cardiomyopathy (PPCM) is a rare but potentially fatal disease. The management of PPCM is individualized, and an early diagnosis is instrumental in the institution of an appropriate management plan. Here, we present a dramatic case of PPCM that was managed with a period of mechanical circulatory support. ( Level of Difficulty: Beginner. ) Key Words: cardiac assist devices, cardiomyopathy, pregnancy, stroke Abbreviations and Acronyms: LV, left ventricle/ventricular; LVAD, left ventricular assist device; LVEF, left ventricular ejection fraction; MCS, mechanical circulatory support; PPCM, peripartum cardiomyopathy; RV, right ventricle/ventricular; RVAD, right ventricular assist device; TEE, transesophageal echocardiogram
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Hassanabad et al. (2020) conducted a case report in Peripartum cardiomyopathy with severe biventricular failure (n=1). Temporary mechanical circulatory support (CentriMag biventricular assist device) was evaluated on Myocardial and neurological recovery (LVEF and functional status). Temporary mechanical circulatory support for 13 days facilitated complete cardiovascular recovery (LVEF 55% at 2 months) and full neurological recovery at 4-year follow-up in a patient with PPCM.
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