Work

Preemptive Use of a Left Microaxial Flow Pump in Peripartum Cardiomyopathy

Year: 2024

Type: article

Abstract: Management of peripartum cardiomyopathy and cardiogenic shock often presents a significant clinical challenge. These patients are frequently best served at a specialized center with access to cardiac anesthesia, maternal-fetal medicine, and cardiac intensivists. Planning for delivery involves a plan for anesthesia and management of hemodynamic changes during the postoperative period. The use of temporary microaxial flow pumps for hemodynamic support allows for ventricular unloading and recovery without the use of catecholaminergic agents. We present a case of early left hemodynamic support with an Impella CP device (Abiomed) in the setting of cardiogenic shock during delivery.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2024.102751

Authors: Jerry Fan, Patrick McGrade, Yissela Escobedo, Steven Costa, John Schmittner, Jaime Hernandez-Montfort

Institution: Baylor Scott & White Medical Center - Temple

Language: English

Topic: Cardiovascular Issues in Pregnancy

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850