{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:54:47Z","timestamp":1761710087833,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T00:00:00Z","timestamp":1705968000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Prior exposure to cardiotoxic cancer therapies has been associated with an increased risk of peripartum cardiomyopathy (PPCM). The management of PPCM in this population remains a clinical challenge. Few studies have explored the use of mechanical circulatory support in PPCM. We present a case of early implementation of intra-aortic balloon pump (IABP) therapy for acute stabilization and intrapartum support of PPCM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case summary<\/jats:title><jats:p>A 36-year-old G4P2103 (4th pregnancy, two full-term, one premature birth, 0 abortions, and three living children) woman at 26 weeks and 5 days gestation with history of combined peripartum and anthracycline-induced cardiomyopathy [previously left ventricular ejection fraction (LVEF) 10\u201315% and recently 40\u201345%] presented with acute decompensated heart failure. Her clinical status deteriorated with a drop in LVEF to 15\u201320% with a significant increase in pulmonary pressures and worsening mitral regurgitation. A multidisciplinary decision with the cardio-obstetrics team was made to place a pulmonary artery catheter for invasive haemodynamic monitoring and IABP insertion prior to delivery. Intra-aortic balloon pump support had a profound immediate decrease in her systemic and pulmonary vascular resistance allowing for a successful repeat caesarean delivery. Her haemodynamics remained stable after IABP removal and pulmonary pressures improved. She was discharged one week following her delivery on guideline-directed medical therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Our case highlights the use of prophylactic intrapartum IABP in combined anthracycline-induced and PPCM and begins to explore its safety and efficacy in this high-risk patient population.<\/jats:p><\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae033","type":"journal-article","created":{"date-parts":[[2024,1,20]],"date-time":"2024-01-20T20:25:30Z","timestamp":1705782330000},"source":"Crossref","is-referenced-by-count":2,"title":["Early use of intrapartum intra-aortic balloon pump support for haemodynamic stabilization of peripartum and anthracycline-induced cardiomyopathy: a case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5476-2452","authenticated-orcid":false,"given":"Karthic","family":"Chandran","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Sciences, Department of Medicine, University of South Florida , 2 Tampa General Circle , Tampa, FL 33606, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9468-3276","authenticated-orcid":false,"suffix":"Jr","given":"Donald","family":"Quimby","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Sciences, Department of Medicine, University of South Florida , 2 Tampa General Circle , Tampa, FL 33606, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4968-7945","authenticated-orcid":false,"given":"Hiram G","family":"Bezerra","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Sciences, Department of Medicine, University of South Florida , 2 Tampa General Circle , Tampa, FL 33606, USA"},{"name":"Tampa General Hospital Heart and Vascular Institute, Interventional Cardiology Center of Excellence , 2 Tampa General Circle , Tampa, FL 33606, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8403-2445","authenticated-orcid":false,"given":"Daniela","family":"Crousillat","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Sciences, Department of Medicine, University of South Florida , 2 Tampa General Circle , Tampa, FL 33606, USA"},{"name":"Tampa General Hospital Heart and Vascular Institute, Women\u2019s Heart and Cardio Obstetrics Program , 2 Tampa General Circle , Tampa, FL 33606, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,1,23]]},"reference":[{"key":"2024022909552541600_ytae033-B1","first-page":"196","article-title":"Increased cancer prevalence in peripartum cardiomyopathy","volume":"1","author":"Pfeffer","year":"2019","journal-title":"JACC: 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