Abstract:
Cardiogenic shock (CS) is a severe complication of peripartum cardiomyopathy (PPCM). Patients with deteriorating CS often require temporary mechanical circulatory support. In PPCM, this can be used as a bridge to postpartum recovery or bridge to decision. The outcomes are unclear, especially if prolonged utilization is required. We present a case series of three patients with PPCM in deteriorating CS who were successfully supported with a ventricular assist device or veno-arterial extracorporeal membrane oxygenation as a bridge to postpartum recovery.
摘要:
心源性休克(CS)是围产期心肌病(PPCM)的严重并发症。CS恶化的患者通常需要临时的机械循环支持。在PPCM中,这可以作为产后康复的桥梁或决策的桥梁。结果不清楚,特别是如果需要长期使用。我们介绍了一个病例系列,其中三名患有PPCM的CS恶化患者,他们成功地用心室辅助装置或静脉动脉体外膜氧合作为产后恢复的桥梁。