title: Use of a single-circuit CentriMag® for biventricular support in postpartum cardiomyopathy.
abstract: 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.
authors.affiliation: Center for Heart Transplant and Assist Devices, Advocate Christ Medical Center, Oak Lawn, IL, USA.
authors.forename: A
authors.initials: A
authors.lastname: Aggarwal
authors.forename: S
authors.initials: S
authors.lastname: Modi
authors.forename: S
authors.initials: S
authors.lastname: Kumar
authors.forename: C
authors.initials: C
authors.lastname: Korrapati
authors.forename: A
authors.initials: A
authors.lastname: Tatooles
authors.forename: P S
authors.initials: PS
authors.lastname: Pappas
authors.forename: G
authors.initials: G
authors.lastname: Bhat
mesh_terms: D000328:Adult; D009202:Cardiomyopathies / Q000503:physiopathology / Q000601:surgery; D004562:Electrocardiography; D005112:Extracorporeal Circulation / Q000295:instrumentation / Q000379:methods; D005260:Female; D006333:Heart Failure / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D049590:Postpartum Period; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000503:physiopathology / Q000601:surgery; D012770:Shock, Cardiogenic / Q000503:physiopathology / Q000601:surgery