Key result
Perimortem C-section, MCS, and steroids achieve full recovery for a pregnant myocarditis patient and infant.
Case Report (n=1)
This case demonstrates the successful use of an interdisciplinary approach, including perimortem Caesarean section and mechanical circulatory support, for severe myocarditis during pregnancy.
May support interdisciplinary management in peripartum myocarditis; leaves open need for prospective data.
We present a case of myocarditis in a 26-year-old pregnant woman at 29 weeks gestation. Despite optimal medical therapy, she experienced a cardiac arrest 10 days postadmission. An interdisciplinary team facilitated emergency delivery of her baby by perimortem (ie, during maternal cardiac arrest) Caesarean section and initiation of emergency mechanical circulatory support. A cardiac biopsy revealed a mixed eosinophilic and histiocytic infiltrate. After a course of steroid therapy, she experienced full recovery. Both the patient and the infant are alive and well. The case highlights the success of modern interdisciplinary care, as well as ongoing gaps in our knowledge of myocarditis.
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Marceau et al. (2019) conducted a case report in Myocarditis (n=1). Interdisciplinary care (perimortem Caesarean section, mechanical circulatory support, steroid therapy) was evaluated on Recovery and survival. Interdisciplinary care including perimortem Caesarean section, mechanical circulatory support, and steroids led to full recovery of a pregnant woman with myocarditis and her infant.
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