Medizinische Universität Graz - Research portal
Selected Publication:
Mayr, A; Lederer, W; Mörtl, M; Margreiter, J; Hoi, M; Hasibeder, W; Mutz, N.
Successful treatment of severe myocardial failure after postpartum haemorrhage with the use of an intra-aortic balloon pump.
Intensive Care Med. 1999; 25(2):223-225
Doi: 10.1007/s001340050821
(- Case Report)
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- Co-authors Med Uni Graz
- Mörtl Manfred Georg
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- 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 counter-pulsation 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.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Echocardiography, Transesophageal -
- Female -
- Heart Failure - etiology Heart Failure - physiopathology Heart Failure - therapy
- Hemodynamics -
- Humans -
- Intra-Aortic Balloon Pumping -
- Postpartum Hemorrhage - complications
- Pregnancy -
- Treatment Outcome -
- Find related publications in this database (Keywords)
- postpartum haemorrhage
- myocardial failure
- intra-aortic balloon pump
- pregnancy