Peripartum cardiomyopathy (PPCM) is defined by acute heart failure in the late stages of pregnancy to a few months postpartum. Cardiogenic shock in PPCM, though rare, can be life-threatening, often requiring support with mechanical circulatory support devices. We present a case of 37-year-old Caucasian female who developed cardiogenic shock within 24 hours of the delivery of her twins. The echocardiogram demonstrated severe biventricular failure which necessitated biventricular device placement and support with a CentriMag® centrifugal pump. This biventricular support was employed, using a single-circuit CentriMag® pump, using a 'Y' connection which made weaning from right-sided support and conversion to univentricular support easier and feasible. The patient recovered four weeks later and was explanted off the CentriMag® support and did well. This technology allows for the CentriMag® to be considered as an early option for biventricular support in the treatment and management of these patients as a bridge to recovery.

译文

:围产期心肌病(PPCM)定义为妊娠晚期至产后几个月的急性心力衰竭。 PPCM中的心源性休克虽然很少见,但可能会危及生命,通常需要使用机械循环支持设备进行支持。我们介绍了一例37岁的白人女性,在她的双胞胎分娩后24小时内发生了心源性休克。超声心动图显示严重的双心室衰竭,这需要将双心室设备放置并使用CentriMag®离心泵进行支撑。使用单回路CentriMag®泵并使用“ Y”形连接来使用这种双心室支架,这使得从右侧支架的断奶和转换为单心室支架变得更加容易和可行。该患者在四个星期后康复,并从CentriMag®支架上移出,表现良好。这项技术使CentriMag®被认为是双心室支持在治疗和管理这些患者方面的早期选择,是康复的桥梁。

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