Massive Respiratory Dysfunction as Sign of Fulminant Peripartum Cardiomyopathy (PPCM)
Autor: | Ares Krishna Menon, Dirk Bauerschlag, Nele Freerksen, Nicolai Maass, Jörg Jaekel |
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Rok vydání: | 2012 |
Předmět: |
Adult
Cardiomyopathy Dilated Cardiac function curve medicine.medical_specialty Peripartum cardiomyopathy medicine.medical_treatment Fulminant Pregnancy Complications Cardiovascular Cardiomyopathy Pregnancy Internal medicine Peripartum Period Internal Medicine medicine Humans business.industry Obstetrics and Gynecology Levosimendan medicine.disease Ventricular assist device Cardiology Female Respiratory Insufficiency business medicine.drug |
Zdroj: | Hypertension in Pregnancy. 31:451-453 |
ISSN: | 1525-6065 1064-1955 |
Popis: | Objective. Case report of a 35-year-old gravida 3, para 2, at 40 + 6 weeks with massive respiratory dysfunction with need of oxygenation, requiring cesarean section. Case Report. Postpartum investigations revealed pathological cardiomegaly with left ventricular failure (NYHAIV). Cardiac biopsy diagnosed postpartum dilatative cardiomyopathy. Despite medication with bromocriptine and levosimendan, cardiac function continued to decrease, requiring surgical intervention and implantation of an intracorporal, left ventricular assist device. Following surgery, cardiac function progressively improved and stabilized. Objective. Peripartum cardiomyopathy (PPCM) is a rare, pregnancy-induced disease and requires an interdisciplinary approach for diagnostics and therapeutical treatment. |
Databáze: | OpenAIRE |
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