Successful pregnancy with left ventricular assist device failure in the setting of peripartum cardiomyopathy.
Congestive heart failure
left ventricular assist device
peripartum cardiomyopathy
pregnancy
Journal
Proceedings (Baylor University. Medical Center)
ISSN: 0899-8280
Titre abrégé: Proc (Bayl Univ Med Cent)
Pays: United States
ID NLM: 9302033
Informations de publication
Date de publication:
2022
2022
Historique:
entrez:
31
12
2021
pubmed:
1
1
2022
medline:
1
1
2022
Statut:
epublish
Résumé
Pregnancy is contraindicated for women with left ventricular dysfunction due to high maternal and fetal mortality. We present a case of a pregnant 31-year-old woman with a history of heart failure due to peripartum cardiomyopathy from a previous pregnancy. She had a left ventricular assist device (LVAD) and was on warfarin due to recurrent thrombosis of her device. During her course, she had multiple cardiac complications, including thrombosis of the LVAD, which required deactivation. At 32 weeks, a cesarean section was performed due to acute decompensation, and a transthoracic echocardiogram revealed a left ventricular ejection fraction of 30% to 34%, a dilated left ventricle, and moderate global hypokinesis. This case highlights the need for coordinated care from cardiologists and maternal-fetal medicine specialists to minimize symptoms to obtain ideal outcomes for mother and infant despite LVAD deactivation.
Identifiants
pubmed: 34970051
doi: 10.1080/08998280.2021.1967020
pii: 1967020
pmc: PMC8682859
doi:
Types de publication
Case Reports
Langues
eng
Pagination
98-100Informations de copyright
Copyright © 2021 Baylor University Medical Center.
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