Korean J Obstet Gynecol.  2006 Jul;49(7):1559-1566.

A Case of Peripartum Cardiomyopathy associated with Preeclampsia superimposed on Idiopathic Thrombocytopenic Purpura

Affiliations
  • 1Department of Obstetrics and Gynecology, Eulji University Hospital, Daejeon, Korea. beatrix@eulji.ac.kr

Abstract

Peripartum cardiomyopathy is a dilated cardiomyopathy of unexplained cause that occurs during the last trimester of pregnancy or within 5 months after delivery. And, It is a rare disease that has a frequency of 1 in 1,300-15,000 deliveries. It has not yet been reported that peripartum cardiomyopathy has occurred in an preeclampsia woman superimposed on idiopathic thrombocytopenic purpura. Moreover, the association between idiopathic thrombocytopenic purpura and peripartum cardiomyopathy has not been studied. Recently, we experienced a case of a woman who has undergone emergency Cesarean section due to complicated severe preeclampsia superimposed on idiopathic thrombocytopenic purpura. On the postoperative day, this patient developed respiratory distress and pumonary edema. Peripartum cardiomyopathy was diagnosed by echocardiography and we present with a brief review of literatures.

Keyword

Idiopathic thrombocytopenic purpura (ITP); Peripartum cardiomyopathy

MeSH Terms

Cardiomyopathies*
Cardiomyopathy, Dilated
Cesarean Section
Echocardiography
Edema
Emergencies
Female
Humans
Peripartum Period*
Pre-Eclampsia*
Pregnancy
Pregnancy Trimester, Third
Purpura, Thrombocytopenic, Idiopathic*
Rare Diseases
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