PMID- 31933696
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 1878-5409 (Electronic)
IS  - 1878-5409 (Linking)
VI  - 21
IP  - 1
DP  - 2020 Jan
TI  - A case of severe peripartum cardiomyopathy requiring left ventricular assist 
      device implantation despite the absence of late gadolinium enhancement on 
      cardiovascular magnetic resonance imaging.
PG  - 1-4
LID - 10.1016/j.jccase.2019.09.011 [doi]
AB  - Peripartum cardiomyopathy (PPCM) is a rare disorder in which left ventricular 
      (LV) systolic dysfunction and symptoms of heart failure (HF) occur in the 
      peripartum period. The time to potential recovery from severe remodeling of 
      ventricular function is difficult to predict. Although lack of late gadolinium 
      enhancement (LGE) in cardiovascular magnetic resonance (CMR) is reportedly 
      associated with functional recovery of the LV in some cardiomyopathies, the 
      impact of LGE in PPCM remains unclear. We herein report a case of a patient with 
      PPCM who demonstrated rapidly worsened ventricular function, leading to 
      requirement of a paracorporeal left ventricular assist device (LVAD) implantation 
      despite absence of LGE in CMR. A 34-year-old Japanese patient, G2P2A0, expecting 
      her third delivery following a full-term pregnancy, experienced heart failure. 
      Severe LV dysfunction and PPCM were diagnosed. CMR showed no LGE. Although 
      standard HF therapy and bromocriptine were given, her cardiac function failed to 
      recover, and she eventually underwent paracorporeal LVAD implantation as a bridge 
      to heart transplantation due to the impossibility of stopping the administration 
      of inotropic agents. <Learning objective: The prognosis of peripartum 
      cardiomyopathy without late gadolinium enhancement in cardiovascular magnetic 
      resonance is reportedly better than that of cases with late gadolinium 
      enhancement. Our patient, who did not have late gadolinium enhancement, showed 
      rapidly worsening ventricular function, leading to the requirement of 
      paracorporeal left ventricular assist device implantation. Patents with 
      peripartum cardiomyopathy should be monitored vigilantly even if they have no 
      late gadolinium enhancement.>.
CI  - (c) 2019 Japanese College of Cardiology. Published by Elsevier Ltd. All rights 
      reserved.
FAU - Takuwa-Shiomi, Chihiro
AU  - Takuwa-Shiomi C
AD  - Department of Cardiology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
FAU - Ogiso, Masataka
AU  - Ogiso M
AD  - Department of Cardiology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
AD  - Department of Cardiology, Tokyo Women's Medical University, Tokyo, Japan.
FAU - Isogai, Toshiaki
AU  - Isogai T
AD  - Department of Cardiology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
FAU - Kato, Ken
AU  - Kato K
AD  - Department of Cardiology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
FAU - Tanaka, Hiroyuki
AU  - Tanaka H
AD  - Department of Cardiology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
FAU - Kiriu, Takahiro
AU  - Kiriu T
AD  - Department of Pathology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
FAU - Masukawa, Ai
AU  - Masukawa A
AD  - Department of Radiology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
FAU - Niinami, Hiroshi
AU  - Niinami H
AD  - Department of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, 
      Japan.
FAU - Hagiwara, Nobuhisa
AU  - Hagiwara N
AD  - Department of Cardiology, Tokyo Women's Medical University, Tokyo, Japan.
LA  - eng
PT  - Case Reports
DEP - 20190927
PL  - Japan
TA  - J Cardiol Cases
JT  - Journal of cardiology cases
JID - 101549579
PMC - PMC6951448
OTO - NOTNLM
OT  - Late gadolinium enhancement
OT  - Left ventricular assist device
OT  - Peripartum cardiomyopathy
EDAT- 2020/01/15 06:00
MHDA- 2020/01/15 06:01
PMCR- 2019/09/27
CRDT- 2020/01/15 06:00
PHST- 2019/05/29 00:00 [received]
PHST- 2019/07/23 00:00 [revised]
PHST- 2019/08/20 00:00 [accepted]
PHST- 2020/01/15 06:00 [entrez]
PHST- 2020/01/15 06:00 [pubmed]
PHST- 2020/01/15 06:01 [medline]
PHST- 2019/09/27 00:00 [pmc-release]
AID - S1878-5409(19)30095-7 [pii]
AID - 10.1016/j.jccase.2019.09.011 [doi]
PST - epublish
SO  - J Cardiol Cases. 2019 Sep 27;21(1):1-4. doi: 10.1016/j.jccase.2019.09.011. 
      eCollection 2020 Jan.