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Peripartum cardiomyopathy with cardiogenic shock: recovery after prolactin inhibition and mechanical support


Emmert, M Y; Prêtre, René; Ruschitzka, F; Krähenmann, F; Falk, V; Wilhelm, M J (2011). Peripartum cardiomyopathy with cardiogenic shock: recovery after prolactin inhibition and mechanical support. Annals of Thoracic Surgery, 91(1):274-276.

Abstract

After the delivery of her second child, peripartum cardiomyopathy developed in the 33-year-old mother, which was complicated by cardiogenic shock refractory to medical treatment. A left ventricular assist device was implanted, and bromocriptine therapy was given to facilitate myocardial recovery. Serial echocardiographic, hemodynamic, and exercise tests under full and partial left ventricular assist device support showed improvement of left ventricular function, such that the left ventricular assist device could be explanted 5 months after implantation. Fourteen months after explantation, the left ventricular function remained stable, and the young mother is asymptomatic and lives a normal life.

After the delivery of her second child, peripartum cardiomyopathy developed in the 33-year-old mother, which was complicated by cardiogenic shock refractory to medical treatment. A left ventricular assist device was implanted, and bromocriptine therapy was given to facilitate myocardial recovery. Serial echocardiographic, hemodynamic, and exercise tests under full and partial left ventricular assist device support showed improvement of left ventricular function, such that the left ventricular assist device could be explanted 5 months after implantation. Fourteen months after explantation, the left ventricular function remained stable, and the young mother is asymptomatic and lives a normal life.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiovascular Surgery
04 Faculty of Medicine > University Hospital Zurich > Clinic for Obstetrics
04 Faculty of Medicine > University Children's Hospital Zurich > Clinic for Surgery
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2011
Deposited On:13 Jan 2011 16:14
Last Modified:05 Apr 2016 14:35
Publisher:Elsevier
ISSN:0003-4975
Publisher DOI:10.1016/j.athoracsur.2010.06.110
PubMed ID:21172530
Permanent URL: http://doi.org/10.5167/uzh-42216

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