Prophylactic percutaneous left ventricular assist device in pregnancy

Jill M. Westcott, Yasaman Yaghoubian, Mathew R. Williams, Ashley S. Roman, Francine Hughes, Mara Rosner

Research output: Contribution to journalArticlepeer-review

Abstract

Pregnancy-associated cardiomyopathy can present earlier in gestation than traditionally defined peripartum cardiomyopathy. Management and optimal delivery timing for these patients are not well defined. We present the case of a 30-year-old primigravid at 26 weeks who presented with new onset ventricular tachycardia, biventricular cardiac failure, and severe mitral regurgitation. She was medically stabilized for two weeks prior to delivery with modest improvement in her condition. Due to concern for life-threatening cardiac failure and pulmonary edema at the time of delivery, a percutaneous left ventricular assist device was inserted immediately prior to cesarean delivery. She remained on mechanical circulatory support for 36 h. We discuss considerations regarding use of a percutaneous left ventricular assist device as a novel therapy to support the hemodynamic changes following delivery in parturients with decompensated heart failure.

Original languageEnglish (US)
Pages (from-to)151-152
Number of pages2
JournalObstetric Medicine
Volume12
Issue number3
DOIs
StatePublished - Sep 1 2019
Externally publishedYes

Keywords

  • Cardiomyopathy
  • ventricular assist device

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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