Volume 5 Issue 9 (September, 2017)

Case Reports

Acute Peripartum Cardiomyopathy after Caesarean Section- A Case Report
Richa Ramesh Chandra, Archana Kumbhar, Kshitij Mohini

Peripartum cardiomyopathy is an idiopathic cardiac muscle disorder which presents as heart failure secondary to left ventricular dysfunction in the last month of pregnancy or during 5 months postpartum.It is a major cause of maternal morbidity and mortality. We had a 26 years multigravida with uneventful term pregnancy delivered by caesarean section who developed cardiopulmonary failure within 8 hours of delivery. It was suspected to be either pulmonary embolism or peripartum cardiomyopathy. Echocardiography findings were suggestive of PPCM (ejection fraction <20%).She was treated with diuretics, LMW Heparin, inotropic support and ventilator support.She showed recovered cardiac function on repeat 2Decho. 
Key words: PPCM-Peripartum Cardiomyopathy, HF-Heart Failure, Puerperium, Pregnancy, Caesarean Section, ICU management.

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