title: Impella™ Left Ventricular Assist Device for Acute Peripartum Cardiomyopathy After Cesarean Delivery.
abstract: Peripartum cardiomyopathy is a rare form of heart failure with significant perioperative implications. In this case report, we describe a 34-year-old gravida 5, parity 3, patient who was admitted for an elective cesarean delivery. During the delivery, the patient developed sudden cardiac arrest and was emergently intubated in the operating room. An emergent transesophageal echocardiogram revealed a left ventricular ejection fraction of 10% with global biventricular hypokinesis. Urgent multidisciplinary consultations led to the rapid implementation of the Impella™ 2.5 for ventricular support. The patient recovered ventricular function within 4 days and recovered to baseline function.
authors.affiliation: From the *Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, California; and †Department of Surgery, The Heart Institute and Cedars-Sinai Medical Center, Los Angeles, California.
authors.forename: Cesar
authors.initials: C
authors.lastname: Padilla
authors.forename: Antonio
authors.initials: A
authors.lastname: Hernandez Conte
authors.forename: Danny
authors.initials: D
authors.lastname: Ramzy
authors.forename: Michael
authors.initials: M
authors.lastname: Sanchez
authors.forename: Manxu
authors.initials: M
authors.lastname: Zhao
authors.forename: Donald
authors.initials: D
authors.lastname: Park
authors.forename: Lorraine
authors.initials: L
authors.lastname: Lubin
mesh_terms: D000208:Acute Disease; D000328:Adult; D009202:Cardiomyopathies / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006352:Heart Ventricles; D006353:Heart-Assist Devices; D006801:Humans; D058725:Peripartum Period