Familial peripartum cardiomyopathy after molar pregnancy

L. Stewart Massad, Craig K. Reiss, David G. Mutch, Ethan J. Haskel

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42 Scopus citations

Abstract

Background: The potential complications of molar pregnancy are numerous and welI defined, but associated peripartum cardiomyopathy has not been reported. Case: A 16-year-old primigravida with a family history of peripartum cardiomyopathy requiring cardiac transplantation underwent suction curettage of a complete mole at 12 weeks’ gestation. Three months after evacuation, she developed congestive heart failure. Radionuclide ventriculography demonstrated an ejection fraction of 30%, echocardiography revealed enlargement and ventricular hypokinesis, and a myocardial biopsy specimen contained hypertrophy and fibrosis without necrosis or active inflammation. The patient improved with medical therapy. Conclusion: Peripartum cardiomyopathy is a potential complication of molar pregnancy. In spite of the poor prognosis sometimes reported for this disease, good functional outcome may follow.

Original languageEnglish
Pages (from-to)886-888
Number of pages3
JournalObstetrics and gynecology
Volume81
Issue number5
StatePublished - May 1993

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