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Decisive and timely management - A case of fatal acute decompensated cardiomyopathy at 35 weeks of pregnancy

Authors:

Abhishek Madankumar Deshpande ,

Global Hospital super-specialty and Transplant centre, Mumbai 400012, IN
About Abhishek Madankumar
Senior resident
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Meera Santosh

Global Hospital super-specialty and Transplant centre, Mumbai 400012, IN
About Meera
Consultant Anaesthetist
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Abstract

Peripartum cardiomyopathy (PPCM) is a relatively rare disease occurring most commonly in the postpartum period. A small subset of patients with PPCM present at later stages of pregnancies. The management of PPCM involves guideline-based treatment of cardiac failure. There is a paucity of data regarding timing of delivery and final outcome. Patients presenting with decompensated failure or progressively worsening symptoms need emergent termination of pregnancy along with stabilisation. We present a 35-week pregnant patient in cardiac failure in whom early delivery and effective postoperative management resulted in a favourable outcome for both mother and child.  

How to Cite: Deshpande, A.M. and Santosh, M., 2019. Decisive and timely management - A case of fatal acute decompensated cardiomyopathy at 35 weeks of pregnancy. Sri Lankan Journal of Anaesthesiology, 27(2), pp.172–174. DOI: http://doi.org/10.4038/slja.v27i2.8466
Published on 26 Jul 2019.
Peer Reviewed

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