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. 2018 Apr;97(15):e0408.
doi: 10.1097/MD.0000000000010408.

Successful management of fatal peripartum cardiomyopathy in a young pregnant woman: A case report

Yaqing Huang  1 , Tianqi Chen, Meiqi Zhang, Xianghong Yang, Guodong Ding, Liwei Yang
Affiliations

Successful management of fatal peripartum cardiomyopathy in a young pregnant woman: A case report

Yaqing Huang et al. Medicine (Baltimore). 2018 Apr.

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.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Dynamic change of respiratory parameters (SpO2, PEEP, and FiO2) during the perioperative period. FiO2 = fraction of inspired oxygen, PEEP = positive end-expiratory pressure, SpO2 = oxygen saturation in pulse oxymetry.
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