Journal ArticleDOI
Veno-venous ECMO as a safe bridge to recovery in a patient with severe peripartum cardiomyopathy - learning from errors.
TLDR
A young multiparous woman with cardiogenic shock caused by severe PPCM who was successfully, but atypically, supported with veno-venous ECMO as a bridge to recovery immediately after the birth of her third child is reported on.Abstract:
Peripartum cardiomyopathy (PPCM) is a rare disorder of unknown etiology and pathogenesis. The most important tool for diagnostic confirmation is transthoracic echocardiography. The recommended management of PPCM in pregnancy is summarized by the European Society of Cardiology Heart Failure Guidelines. Few data exist on the treatment of patients with fulminant PPCM and the need for extracorporeal membrane oxygenation (ECMO) in this context. We report on a young multiparous woman with cardiogenic shock caused by severe PPCM who was successfully, but atypically, supported with veno-venous ECMO as a bridge to recovery immediately after the birth of her third child.read more
Citations
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Journal ArticleDOI
Extracorporeal Life Support in Pregnancy: A Systematic Review.
Emily E. Naoum,Andrew N. Chalupka,Jonathan W. Haft,Mark MacEachern,Cosmas J. M. Vandeven,Sarah Rae Easter,Michael D. Maile,Brian T. Bateman,Melissa E. Bauer +8 more
TL;DR: According to a systematic review, rates of survival in ECLS in pregnant and postpartum women are high and major complications relatively low.
Journal ArticleDOI
Use of Impella heart pump for management of women with peripartum cardiogenic shock.
Uri Elkayam,Andreas Schäfer,Alaide Chieffo,Alexandra Lansky,Shelley A. Hall,Zoltan Arany,Cindy L. Grines +6 more
TL;DR: Percutaneous mechanical circulatory support, such as the Impella heart pump, is a valuable option for cardiogenic shock (CS), although the use of Impello in CS due to peripartum cardiomyopathy (PPCM) is limited.
Journal ArticleDOI
Extracorporeal membrane oxygenation in peripartum cardiomyopathy: A review of the ELSO Registry.
T.L. Olson,Erika R O'Neil,Kollengode R. Ramanathan,Roberto Lorusso,Graeme MacLaren,Marc Anders +5 more
TL;DR: This review is the largest to date of PPCM patients supported with VA ECMO for cardiogenic shock and concludes ECMO and ECPR are valuable forms of short-term mechanical circulatory support with acceptable mortality profiles for P PCM patients who remain refractory to aggressive medical management.
Journal ArticleDOI
Extracorporeal membrane oxygenation in pregnant and postpartum patients: a systematic review.
TL;DR: In this article, the authors conducted a systematic review examining extracorporeal membrane oxygenation (ECMO) use in pregnant and postpartum patients in obstetric patients, and found that the use of ECMO in these patients is relatively rare.
Journal ArticleDOI
Peripartum Cardiomyopathy Incidence, Risk Factors, Diagnostic Criteria, Pathophysiology, and Treatment Options.
Nicole K Zagelbaum,Jasjit Bhinder,Chhaya Aggarwal Gupta,William H. Frishman,Wilbert S. Aronow +4 more
TL;DR: This article will provide a comprehensive review and update on peripartum cardiomyopathy, associated with increased morbidity and mortality, as well as a detrimental long-term impact on quality of life.
References
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Journal ArticleDOI
ESC Guidelines on the management of cardiovascular diseases during pregnancy: the Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC).
Vera Regitz-Zagrosek,Carina Blomström Lundqvist,Claudio Borghi,Renata Cifkova,Rafael Ferreira,Jean-Michel Foidart,J Simon R Gibbs,Christa Gohlke-Baerwolf,Bulent Gorenek,Bernard Iung,Mike Kirby,Angela H E M Maas,João Morais,Petros Nihoyannopoulos,Petronella G. Pieper,Patrizia Presbitero,Jolien W. Roos-Hesselink,Maria Schaufelberger,Ute Seeland,Lucia Torracca,Jeroen J. Bax,A Auricchio,Helmut Baumgartner,Claudio Ceconi,Veronica Dean,Christi Deaton,Robert Fagard,Christian Funck-Brentano,David Hasdai,Arno W. Hoes,Juhani Knuuti,Philippe Kolh,Theresa McDonagh,Cyril Moulin,Don Poldermans,Bogdan Alexandru Popescu,Zeljko Reiner,Udo Sechtem,Per Anton Sirnes,Adam Torbicki,Alec Vahanian,Stephan Windecker,Carlos Aguiar,Nawwar Al-Attar,Angeles Alonso Garcia,Anna Antoniou,I M Coman,Uri Elkayam,Miguel Ángel Gómez-Sánchez,Nina Gotcheva,Denise Hilfiker-Kleiner,Róbert Gábor Kiss,Anastasia Kitsiou,Karen T S Konings,Gregory Y.H. Lip,Athanasios J. Manolis,Alexandre Mebaaza,Iveta Mintale,Marie Claude Morice,Barbara J.M. Mulder,Agnes Pasquet,Susanna Price,Silvia G. Priori,Maria J Salvador,Avraham Shotan,Candice K. Silversides,Sven O Skouby,Jörg Ingolf Stein,Pilar Tornos,Niels Vejlstrup,Fiona Walker,Carole A. Warnes +71 more
TL;DR: Recommendations for the prevention and management of venous thrombo-embolism in pregnancy and puerperium and the associated risk groups according to risk factors: definition and preventive measures are presented.
ESC Guidelines on the management of cardiovascular diseases during pregnancy The Task Force on the Management of Cardiovascular Diseases
Carina Blomström Lundqvist,Rafael Ferreira,Jean-Michel Foidart,Joshua D. Simon,R. Gibbs,Angela H.E.M. Maas,Petronella G. Pieper,Jolien W. Roos-Hesselink,Maria Schaufelberger +8 more
TL;DR: In this paper, the authors presented a list of risk factors for venous thrombo-embolism in pregnancy and puerperium in women with heart disease, including the following risk factors: hypertension, congestive heart failure, hypertension, age (>75 years), diabetes, stroke, and atrial septal defect.
Journal ArticleDOI
Current state of knowledge on aetiology, diagnosis, management, and therapy of peripartum cardiomyopathy: a position statement from the Heart Failure Association of the European Society of Cardiology Working Group on peripartum cardiomyopathy
Karen Sliwa,Denise Hilfiker-Kleiner,Mark C. Petrie,Alexandre Mebazaa,Burkert Pieske,Eckhart Buchmann,Vera Regitz-Zagrosek,Maria Schaufelberger,Luigi Tavazzi,Dirk J. van Veldhuisen,Hugh Watkins,Ajay J. Shah,Petar M. Seferović,Uri Elkayam,Sabine Pankuweit,Zoltán Papp,Frédéric Mouquet,John J.V. McMurray +17 more
TL;DR: The present position statement offers a state‐of‐the‐art summary of what is known about risk factors for potential pathophysiological mechanisms, clinical presentation of, and diagnosis and management of PPCM.
Journal ArticleDOI
Pathophysiology and epidemiology of peripartum cardiomyopathy
TL;DR: The latest understanding of the epidemiology, pathophysiology, and novel treatment strategies for patients with peripartum cardiomyopathy are described.
Journal ArticleDOI
Peripartum cardiomyopathy: current management and future perspectives.
TL;DR: Novel aspects of physiological and pathophysiological changes of the maternal cardiovascular system are compared by comparing normal conditions, hypertensive complications, genetic aspects, and infectious disease in PPCM-pregnancies by highlighting promising new insights in diagnostic tools and therapeutic approaches and management.