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Impella™ Left Ventricular Assist Device for Acute Peripartum Cardiomyopathy After Cesarean Delivery

Cesar Padilla1, Antonio Hernandez Conte, Danny Ramzy

  • 1From the *Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, California; and †Department of Surgery, The Heart Institute and Cedars-Sinai Medical Center, Los Angeles, California.

A & a Case Reports
|May 26, 2016
PubMed

Peripartum cardiomyopathy is a rare form of heart failure with significant perioperative implications. In this case report, we describe a 34-year-old gravida 5, parity 3, patient who was admitted for an elective cesarean delivery. During the delivery, the patient developed sudden cardiac arrest and was emergently intubated in the operating room. An emergent transesophageal echocardiogram revealed a left ventricular ejection fraction of 10% with global biventricular hypokinesis. Urgent multidisciplinary consultations led to the rapid implementation of the Impella™ 2.5 for ventricular support. The patient recovered ventricular function within 4 days and recovered to baseline function.

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