Successful management of fatal peripartum cardiomyopathy in a young pregnant woman: A case report


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Abstract

Rationale:Peripartum cardiomyopathy (PPCM) is a rare and life-threatening form of pregnancy associated myocardial disease.Patient concerns:In the present report, we describe a case of a patient with PPCM at 33 weeks of gestation with stillbirth and cardiorespiratory failure.Diagnoses:Peripartum cardiomyopathy.Interventions:The patient underwent emergency cesarean section (CS) and comprehensive medical treatments, including bromocriptine, as well as positive inotropic agents and diuretics after the CS.Outcomes:She had an uneventful recovery period, and was discharged 9 days after surgery. Her heart function was restored within 6 months after CS, and follow-up echocardiographies indicated normal heart function.Lessons:This case highlights that early diagnosis and timely termination of pregnancy are crucial in the management of PPCM.

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