Abstract
We report a 29-year-old primigravid who developed cardiac failure following postpartum haemorrhage unresponsive to volume resuscitation and therapy with catecholamines and phosphodiesterase-inhibitors. Transoesophageal echocardiography (TEE) demonstrated left atrial and ventricular dilatation and global left ventricular hypokinesis. No elevation of serum MB-isoenzyme fraction was detected and other organ functions remained stable. Although emergency cardiac transplantation was considered in the presented patient, the institution of intra-aortic counterpulsation was decided on as a first treatment option. Intra-aortic balloon counterpulsation rapidly improved cardiac function and led to weaning from pharmacological cardiac support within a few days. Mechanical circulatory assist devices can be life-saving in postpartum-haemorrhage-associated cardiac failure.
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Received: 11 June 1998 Final revision received: 6 October 1998 Accepted: 6 November 1998
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Mayr, A., Lederer, W., Mörtl, M. et al. Successful treatment of severe myocardial failure after postpartum haemorrhage with the use of an intra-aortic balloon pump. Intensive Care Med 25, 223–225 (1999). https://doi.org/10.1007/s001340050821
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DOI: https://doi.org/10.1007/s001340050821