Successful Management of Acute Congestive Heart Failure by Emergent Caesarean Section Followed by Adrenalectomy in a Pregnant Woman with Cushing's Syndrome-induced Cardiomyopathy

Autor: Masatoshi Saito, Nobuhiro Kikuchi, Shunsuke Tatebe, Yosuke Terui, Miku Sakota, Shimpei Kuniyoshi, Tatsuo Aoki, Hiroaki Shimokawa, Ryo Morimoto, Koichiro Sugimura, Ryo Konno, Saori Yamamoto, Kimio Satoh, Yuta Tezuka, Haruka Sato
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Cardiac function curve
Adult
medicine.medical_specialty
medicine.medical_treatment
Cardiomyopathy
Cushing's syndrome
Case Report
030204 cardiovascular system & hematology
03 medical and health sciences
Electrocardiography
0302 clinical medicine
Pregnancy
Internal medicine
Internal Medicine
medicine
adrenal adenoma
Adrenal adenoma
Humans
Caesarean section
cardiovascular diseases
Cushing Syndrome
Heart Failure
business.industry
Cesarean Section
Adrenalectomy
Infant
Newborn
Dilated cardiomyopathy
General Medicine
medicine.disease
dilated cardiomyopathy
Pregnancy Complications
congestive heart failure
Echocardiography
Heart failure
Acute Disease
Adrenocortical Adenoma
Cardiology
cardiovascular system
030211 gastroenterology & hepatology
Female
Laparoscopy
business
emergency cesarean section
Cardiomyopathies
Tomography
X-Ray Computed
Zdroj: Internal Medicine
ISSN: 1349-7235
0918-2918
Popis: Congestive heart failure (CHF) is rare during pregnancy. We herein report a 35-year-old woman who developed CHF with severe left ventricular dysfunction at 35 weeks' gestation. She underwent emergency Caesarean section followed by intensive-care treatment for CHF. The diagnosis of Cushing's syndrome (CS) caused by adrenal adenoma was confirmed by endocrinological examinations and histology after adrenalectomy. She was discharged on heart failure medications and glucocorticoid replacement therapy. Both the symptoms and cardiac function had recovered after 12 months of follow-up. This case highlights the importance of considering CS-induced cardiomyopathy as a cause of CHF in pregnant women.
Databáze: OpenAIRE
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