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CASE REPORT
Year : 2017  |  Volume : 27  |  Issue : 3  |  Page : 114-117

Subsequent safe pregnancy with cesarean delivery in a patient with a history of peripartum takotsubo syndrome complicated by cardiogenic shock


1 Department of Cardiology, University Hospital “San Giovanni di Dio e Ruggi d'Aragona”, Salerno, Italy
2 Division of Anesthesiology, University Hospital “San Giovanni di Dio e Ruggi d'Aragona”, Salerno, Italy
3 Division of Obstetrics and Gynecology, University Hospital “San Giovanni di Dio e Ruggi d'Aragona”, Salerno, Italy

Correspondence Address:
Rodolfo Citro
University Hospital “San Giovanni di Dio e Ruggi d'Aragona”, Heart Tower. Room 810, Largo Citta di Ippocrate, 84131 Salerno
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcecho.jcecho_24_17

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Takotsubo syndrome (TTS) is an acute and reversible heart failure syndrome, usually occurring in females but rarely in the peripartum period. In women with a history of peripartum TTS, it is unclear how to manage subsequent pregnancies. A 39-year-old female with a history of peripartum TTS complicated by cardiogenic shock became pregnant again. She underwent close cardiological follow-up for monitoring left ventricular systolic function and hemodynamic conditions. Epidural anesthesia was preferred to avoid catecholamine surge during cesarean delivery. After a few days of hospitalization, the patient and the newborn were discharged in good health. In our patient with a history of complicated peripartum TTS, close cardiological follow-up, appropriate management therapy, and anesthesia modality allow us to guide safely a new pregnancy.


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