Successful treatment of peripartum cardiomyopathy with extracorporeal membrane oxygenation
A 24-year-old female developed heart failure within four months of delivering her first child. Echocardiogram revealed a moderately dilated left ventricle with severely reduced systolic function. She continued to decompensate, requiring intubation and inotropic support. When the use of an intra-aort...
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Veröffentlicht in: | Perfusion 2009-03, Vol.24 (2), p.75-79 |
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creator | Palanzo, DA Baer, LD El-Banayosy, A Stephenson, E Mulvey, S McCoach, RM Wise, RK Woitas, KR Pae, WE |
description | A 24-year-old female developed heart failure within four months of delivering her first child. Echocardiogram revealed a moderately dilated left ventricle with severely reduced systolic function. She continued to decompensate, requiring intubation and inotropic support. When the use of an intra-aortic balloon pump failed to stabilize the patient, the decision was made to place her on ECMO. The circuit consisted of a Quadrox D membrane oxygenator and a CentriMag® centrifugal pump. After 11 days of support, the patient met the weaning criteria and was successfully removed from ECMO. She was discharged one month after her admission. The new technology available allows for ECMO to be considered as an earlier option for the treatment and management of these patients as a bridge to recovery. |
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Echocardiogram revealed a moderately dilated left ventricle with severely reduced systolic function. She continued to decompensate, requiring intubation and inotropic support. When the use of an intra-aortic balloon pump failed to stabilize the patient, the decision was made to place her on ECMO. The circuit consisted of a Quadrox D membrane oxygenator and a CentriMag® centrifugal pump. After 11 days of support, the patient met the weaning criteria and was successfully removed from ECMO. She was discharged one month after her admission. The new technology available allows for ECMO to be considered as an earlier option for the treatment and management of these patients as a bridge to recovery.</description><identifier>ISSN: 0267-6591</identifier><identifier>EISSN: 1477-111X</identifier><identifier>DOI: 10.1177/0267659109106731</identifier><identifier>PMID: 19654146</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Cardiomyopathy, Dilated - therapy ; Extracorporeal Membrane Oxygenation - methods ; Female ; Heart Failure - therapy ; Heart-Assist Devices ; Humans ; Oxygenators, Membrane ; Puerperal Disorders - therapy ; Ventricular Dysfunction, Left - therapy ; Young Adult</subject><ispartof>Perfusion, 2009-03, Vol.24 (2), p.75-79</ispartof><rights>SAGE Publications © Mar 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-3a6670190041647e65fb91566dfbb03dec43f80f5756ecb9ba8d1ea62e9487f73</citedby><cites>FETCH-LOGICAL-c362t-3a6670190041647e65fb91566dfbb03dec43f80f5756ecb9ba8d1ea62e9487f73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0267659109106731$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0267659109106731$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,777,781,21800,27905,27906,43602,43603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19654146$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Palanzo, DA</creatorcontrib><creatorcontrib>Baer, LD</creatorcontrib><creatorcontrib>El-Banayosy, A</creatorcontrib><creatorcontrib>Stephenson, E</creatorcontrib><creatorcontrib>Mulvey, S</creatorcontrib><creatorcontrib>McCoach, RM</creatorcontrib><creatorcontrib>Wise, RK</creatorcontrib><creatorcontrib>Woitas, KR</creatorcontrib><creatorcontrib>Pae, WE</creatorcontrib><title>Successful treatment of peripartum cardiomyopathy with extracorporeal membrane oxygenation</title><title>Perfusion</title><addtitle>Perfusion</addtitle><description>A 24-year-old female developed heart failure within four months of delivering her first child. Echocardiogram revealed a moderately dilated left ventricle with severely reduced systolic function. She continued to decompensate, requiring intubation and inotropic support. When the use of an intra-aortic balloon pump failed to stabilize the patient, the decision was made to place her on ECMO. The circuit consisted of a Quadrox D membrane oxygenator and a CentriMag® centrifugal pump. After 11 days of support, the patient met the weaning criteria and was successfully removed from ECMO. She was discharged one month after her admission. The new technology available allows for ECMO to be considered as an earlier option for the treatment and management of these patients as a bridge to recovery.</description><subject>Cardiomyopathy, Dilated - therapy</subject><subject>Extracorporeal Membrane Oxygenation - methods</subject><subject>Female</subject><subject>Heart Failure - therapy</subject><subject>Heart-Assist Devices</subject><subject>Humans</subject><subject>Oxygenators, Membrane</subject><subject>Puerperal Disorders - therapy</subject><subject>Ventricular Dysfunction, Left - therapy</subject><subject>Young Adult</subject><issn>0267-6591</issn><issn>1477-111X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kM1LxDAQxYMoun7cPUnx4K2aafOxOYr4BYIHFcRLSdOJVtqmJim6_71ZdkERhIE5zO-9eTxCDoGeAkh5RgshBVdA0whZwgaZAZMyB4DnTTJbnvPlfYfshvBOKWWMldtkB5TgDJiYkZeHyRgMwU5dFj3q2OMQM2ezEX07ah-nPjPaN63rF27U8W2RfbbxLcOv6LVxfnRJ1GU99rXXA2bua_GKg46tG_bJltVdwIP13iNPV5ePFzf53f317cX5XW5KUcS81EJICiqFA8EkCm5rBVyIxtY1LRs0rLRzarnkAk2taj1vALUoULG5tLLcIycr39G7jwlDrPo2GOy6lMdNoRKScz6nRQKP_4DvbvJDylaBUpxDUagE0RVkvAvBo61G3_baLyqg1bL06m_pSXK09p3qHpsfwbrlBOQrIOhX_PX0P8NvLmiKyg</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>Palanzo, DA</creator><creator>Baer, LD</creator><creator>El-Banayosy, A</creator><creator>Stephenson, E</creator><creator>Mulvey, S</creator><creator>McCoach, RM</creator><creator>Wise, RK</creator><creator>Woitas, KR</creator><creator>Pae, WE</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20090301</creationdate><title>Successful treatment of peripartum cardiomyopathy with extracorporeal membrane oxygenation</title><author>Palanzo, DA ; Baer, LD ; El-Banayosy, A ; Stephenson, E ; Mulvey, S ; McCoach, RM ; Wise, RK ; Woitas, KR ; Pae, WE</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-3a6670190041647e65fb91566dfbb03dec43f80f5756ecb9ba8d1ea62e9487f73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Cardiomyopathy, Dilated - therapy</topic><topic>Extracorporeal Membrane Oxygenation - methods</topic><topic>Female</topic><topic>Heart Failure - therapy</topic><topic>Heart-Assist Devices</topic><topic>Humans</topic><topic>Oxygenators, Membrane</topic><topic>Puerperal Disorders - therapy</topic><topic>Ventricular Dysfunction, Left - therapy</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Palanzo, DA</creatorcontrib><creatorcontrib>Baer, LD</creatorcontrib><creatorcontrib>El-Banayosy, A</creatorcontrib><creatorcontrib>Stephenson, E</creatorcontrib><creatorcontrib>Mulvey, S</creatorcontrib><creatorcontrib>McCoach, RM</creatorcontrib><creatorcontrib>Wise, RK</creatorcontrib><creatorcontrib>Woitas, KR</creatorcontrib><creatorcontrib>Pae, WE</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Perfusion</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Palanzo, DA</au><au>Baer, LD</au><au>El-Banayosy, A</au><au>Stephenson, E</au><au>Mulvey, S</au><au>McCoach, RM</au><au>Wise, RK</au><au>Woitas, KR</au><au>Pae, WE</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful treatment of peripartum cardiomyopathy with extracorporeal membrane oxygenation</atitle><jtitle>Perfusion</jtitle><addtitle>Perfusion</addtitle><date>2009-03-01</date><risdate>2009</risdate><volume>24</volume><issue>2</issue><spage>75</spage><epage>79</epage><pages>75-79</pages><issn>0267-6591</issn><eissn>1477-111X</eissn><abstract>A 24-year-old female developed heart failure within four months of delivering her first child. Echocardiogram revealed a moderately dilated left ventricle with severely reduced systolic function. She continued to decompensate, requiring intubation and inotropic support. When the use of an intra-aortic balloon pump failed to stabilize the patient, the decision was made to place her on ECMO. The circuit consisted of a Quadrox D membrane oxygenator and a CentriMag® centrifugal pump. After 11 days of support, the patient met the weaning criteria and was successfully removed from ECMO. She was discharged one month after her admission. The new technology available allows for ECMO to be considered as an earlier option for the treatment and management of these patients as a bridge to recovery.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>19654146</pmid><doi>10.1177/0267659109106731</doi><tpages>5</tpages></addata></record> |
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subjects | Cardiomyopathy, Dilated - therapy Extracorporeal Membrane Oxygenation - methods Female Heart Failure - therapy Heart-Assist Devices Humans Oxygenators, Membrane Puerperal Disorders - therapy Ventricular Dysfunction, Left - therapy Young Adult |
title | Successful treatment of peripartum cardiomyopathy with extracorporeal membrane oxygenation |
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