Use of a single-circuit CentriMag® for biventricular support in postpartum cardiomyopathy

Perfusion. 2013 Mar;28(2):156-9. doi: 10.1177/0267659112464713. Epub 2012 Oct 25.

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cardiomyopathies* / physiopathology
  • Cardiomyopathies* / surgery
  • Electrocardiography
  • Extracorporeal Circulation* / instrumentation
  • Extracorporeal Circulation* / methods
  • Female
  • Heart Failure* / physiopathology
  • Heart Failure* / surgery
  • Humans
  • Postpartum Period*
  • Pregnancy
  • Pregnancy Complications, Cardiovascular* / physiopathology
  • Pregnancy Complications, Cardiovascular* / surgery
  • Shock, Cardiogenic* / physiopathology
  • Shock, Cardiogenic* / surgery