Percutaneous Axillary Left Ventricular Support as a Lifesaving Measure for Peripartum Cardiomyopathy Shock: A Case Report

Cureus. 2023 Aug 27;15(8):e44224. doi: 10.7759/cureus.44224. eCollection 2023 Aug.

Abstract

Peripartum cardiomyopathy (PPCM) affects women at the end of pregnancy or after delivery. Symptoms overlapping with pregnancy decrease the diagnostic yield of PPCM and can increase the rate of maternal mortality. As clinicians manage high-risk patients, it is crucial to understand the variable maternal physiology both during and after childbirth. Effective management of high-risk patients necessitates a comprehensive understanding of the variable maternal physiology during and after childbirth. The importance of prompt intervention with Impella CP (Cardiac Power) to treat acute cardiogenic shock stemming from PPCM after cesarean should be considered. Clinical outcomes can be improved by emphasizing the need for timely intervention and incorporating a comprehensive understanding of maternal physiology. The authors present a case of Impella CP use in PPCM shock as a means for emergent support after cesarean.

Keywords: bridge to transplant; heart failure; heart transplant; impella cp; mechanical circulatory support; peripartum; transplantation.

Publication types

  • Case Reports