Successful management of fatal peripartum cardiomyopathy in a young pregnant woman: A case report. Issue 15 (April 2018)

• Record Type: Journal Article
• Authors: Huang, Yaqing; Chen, Tianqi; Zhang, Meiqi; Yang, Xianghong; Ding, Guodong; Yang, Liwei
• Other Names: NA. section editor.
• Is Part Of: Medicine. Volume 97:Issue 15(2018)
• Publication Date: 2018-04
• Subjects: cardiovascular -- cesarean section -- critical care obstetrics -- peripartum cardiomyopathy -- stillbirth; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000010408
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: Peripartum cardiomyopathy (PPCM) is a rare and life-threatening form of pregnancy associated myocardial disease. Patient concerns: In the present report, we describe a case of a patient with PPCM at 33 weeks of gestation with stillbirth and cardiorespiratory failure. Diagnoses: Peripartum cardiomyopathy. Interventions: The patient underwent emergency cesarean section (CS) and comprehensive medical treatments, including bromocriptine, as well as positive inotropic agents and diuretics after the CS. Outcomes: She had an uneventful recovery period, and was discharged 9 days after surgery. Her heart function was restored within 6 months after CS, and follow-up echocardiographies indicated normal heart function. Lessons: This case highlights that early diagnosis and timely termination of pregnancy are crucial in the management of PPCM.