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2026 SOAP Annual Meeting
April 29 - May 3, 2026 | Montreal, Quebec Canada
2338472
Cesarean Delivery in a Patient with Severe Peripartum Cardiomyopathy
Poster Presenter
Authors
Ashley Vincent Thomson, Braydon Bak, Rebecca S. Himmelwright
Affiliations
Part of Topic
Potpourri
Background
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Peripartum cardiomyopathy: HF with reduced left ventricular ejection fraction (LVEF) <45%,without any other cause of HF, that occurs mainly during the peripartum period or in themonths following delivery, termination, or miscarriage
Case Study: Severe PPCM (LVEF <15%) Management
28yo G1P0 at 35 weeks; severe heart failure with critical LVEF <15% (mWHO 2.0 class IV condition)
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Anesthetic Plan:
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Combined Spinal-Epidural (CSE)
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Low dose spinal; slowly titrated to surgical levels to maintain hemodynamics
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Hemodynamic Support:
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Prophylactic Norepi & Epinephrine gtts
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Continuous TTE & arterial line monitoring
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High-Risk Contingency:
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Multidisciplinary team on standby
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Primed ECMO circuit and femoral sheaths in place
Outcome: Successful delivery; 500cc EBL; stable recovery & currently undergoing transplant evaluation