Universität zu Köln

Djordjevic, Ilija ORCID: 0000-0002-5810-8626, Merkle, Julia, Eghbalzadeh, Kaveh, Sabashnikov, Anton, Ivanov, Borko, Gummert, Jan, Potapov, Evgenij, Schoenrath, Felix, Meyns, Bart, Ozbaran, Mustafa, de By, Theo M. M. H., Wahlers, Thorsten, Zeriouh, Mohamed and Rahmanian, Parwis B. ORCID: 0000-0002-3978-9251 (2021). The outcome of patients with peripartum cardiomyopathy and consecutive implantation of a left ventricular assist device. J. Card. Surg., 36 (8). S. 2651 - 2658. HOBOKEN: WILEY. ISSN 1540-8191

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Abstract

Objectives Peripartum cardiomyopathy (PPCM) is a form of systolic heart failure occurring toward the end of pregnancy or in the period after delivery. Lack of myocardial recovery or therapy-refractory cardiogenic shock are rare complications and left ventricular assist device (LVAD) systems might be used as a life-saving option. The aim of this study was to investigate outcomes of PPCM patients supported with LVAD, registered in the European Registry for Patients with Mechanical Circulatory Support (EUROMACS). Methods All patients registered in EUROMACS with a primary diagnosis of PPCM were included in this study. Demographic, preoperative, intraoperative, postoperative, and follow-up data were collected and patients analysed concerning their outcome after initiation of LVAD therapy. Results Between May 2011 and September 2018, 16 patients with PPCM and consecutive LVAD implantation were enrolled into EUROMACS. The median age of the patient population was 31 (26;41) years with a mean left ventricular ejection fraction (LV-EF) of 15% +/- 6%. In-hospital mortality after LVAD implantation was 6% (n = 1). One-year mortality accounted for 13% (n = 2). Six patients (40%) were transplanted with a median support time of 769 (193;1529) days. Weaning of LVAD support due to ventricular recovery was feasible in 3 (20%) patients. Conclusion In patients with severe PPCM, LVAD therapy is associated with considerably low in-hospital mortality, potentially allowing bridging to heart transplantation, or left ventricular recovery. Therefore, durable mechanical support should be considered as a treatment option in this, by nature, young and often otherwise healthy patient population.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Djordjevic, Ilija UNSPECIFIED orcid.org/0000-0002-5810-8626 UNSPECIFIED Merkle, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Eghbalzadeh, Kaveh UNSPECIFIED UNSPECIFIED UNSPECIFIED Sabashnikov, Anton UNSPECIFIED UNSPECIFIED UNSPECIFIED Ivanov, Borko UNSPECIFIED UNSPECIFIED UNSPECIFIED Gummert, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Potapov, Evgenij UNSPECIFIED UNSPECIFIED UNSPECIFIED Schoenrath, Felix UNSPECIFIED UNSPECIFIED UNSPECIFIED Meyns, Bart UNSPECIFIED UNSPECIFIED UNSPECIFIED Ozbaran, Mustafa UNSPECIFIED UNSPECIFIED UNSPECIFIED de By, Theo M. M. H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wahlers, Thorsten UNSPECIFIED UNSPECIFIED UNSPECIFIED Zeriouh, Mohamed UNSPECIFIED UNSPECIFIED UNSPECIFIED Rahmanian, Parwis B. UNSPECIFIED orcid.org/0000-0002-3978-9251 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-595748
DOI:	10.1111/jocs.15598
Journal or Publication Title:	J. Card. Surg.
Volume:	36
Number:	8
Page Range:	S. 2651 - 2658
Date:	2021
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1540-8191
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MECHANICAL CIRCULATORY SUPPORT; BODY-MASS INDEX; COMPLICATIONS; RECOVERY; ETIOLOGY; REGISTRY; THERAPY; BRIDGE Multiple languages Cardiac & Cardiovascular Systems; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/59574