Cardiogenic shock following cesarean delivery due to undiagnosed tuberculous constrictive pericarditis.
We describe an uncommon cause of cardiogenic shock following cesarean delivery in a 24-year-old multiparous woman at 26 weeks of gestation. Hemodynamic instability was erroneously attributed to amniotic infection syndrome and sepsis, which resulted in delayed diagnosis and treatment of tuberculous constrictive pericarditis. Inotropic support, pericardectomy, and implantation of a left ventricular assist device were required for maternal survival.
Brendt
P
P
Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Essen, Essen, Germany. Peter.Brendt@uni-duisburg-essen.de
Herbstreit
F
F
Peters
J
J
D000995:Antitubercular Agents / Q000627:therapeutic use; D002585:Cesarean Section; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008198:Lymph Nodes / Q000382:microbiology / Q000473:pathology; D010490:Pericardial Effusion / Q000000981:diagnostic imaging; D010493:Pericarditis / Q000150:complications* / Q000628:therapy; D010920:Placenta / Q000000981:diagnostic imaging; D010996:Pleural Effusion / Q000000981:diagnostic imaging; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy; D011247:Pregnancy; D020133:Reverse Transcriptase Polymerase Chain Reaction; D012770:Shock, Cardiogenic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D014376:Tuberculosis / Q000150:complications* / Q000188:drug therapy / Q000628:therapy; D014463:Ultrasonography; D055815:Young Adult
D000995:Antitubercular Agents