Key result
Continuous arteriovenous hemofiltration successfully relieved pulmonary edema before cesarean delivery in a pregnant patient with myotonic dystrophy and severe refractory congestive heart failure.
Case Report (n=1)
Continuous arteriovenous hemofiltration can be utilized to relieve refractory pulmonary edema in pregnant patients with severe heart failure complicating myotonic dystrophy.
Hypothesis-generating for CAVH in pregnant myotonic dystrophy HF; prospective studies needed before clinical adoption.
The pregnancy of a patient with myotonic dystrophy and heart failure due to cardiac involvement is described. Endomyocardial biopsy was performed at 32 weeks' gestation with echocardiographic guidance to establish the diagnosis. Severe congestive heart failure, refractory to conventional therapy, was encountered. Continuous arteriovenous hemofiltration was used to relieve pulmonary edema before cesarean delivery.
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Fall et al. (1991) conducted a case report in Myotonic dystrophy and heart failure in pregnancy (n=1). Continuous arteriovenous hemofiltration was evaluated. Continuous arteriovenous hemofiltration successfully relieved pulmonary edema before cesarean delivery in a pregnant patient with myotonic dystrophy and severe refractory congestive heart failure.
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