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Left ventricular assist device in pregnancy: Case report and review of the literature
Author(s) -
Malik Alexa,
Winchester MaeLan,
Gorman Kelly,
Parrott Jessica,
Parrish Marc
Publication year - 2021
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.14699
Subject(s) - medicine , pregnancy , ventricular assist device , gestational age , heart failure , hemodynamics , cardiomyopathy , gestation , cardiology , obstetrics , genetics , biology
Left ventricular assist devices have emerged as a safe and effective therapy for end‐stage heart failure patients. However, little is known about the safety of these devices during pregnancy. We describe a 23‐year‐old woman who received a left ventricular device for nonischemic cardiomyopathy of uncertain origin. She became pregnant approximately 1 year later. With close monitoring of her hemodynamic parameters, she was able to achieve a gestational age of 34 weeks, at which time she delivered a healthy male infant by cesarean delivery. Pregnancies in women with left ventricular assist devices may be successful, but remain medically challenging and complex pregnancies. Close multidisciplinary involvement and frequent assessment of device parameters during pregnancy is warranted.