Use of a single-circuit CentriMag® for biventricular support in postpartum cardiomyopathy

Peripartum cardiomyopathy (PPCM) is defined by acute heart failure in the late stages of pregnancy to a few months postpartum. Cardiogenic shock in PPCM, though rare, can be life-threatening, often requiring support with mechanical circulatory support devices. We present a case of 37-year-old Caucasian female who developed cardiogenic shock within 24 hours of the delivery of her twins. The echocardiogram (R) demonstrated severe biventricular failure which necessitated biventricular device placement and support with a CentriMag (R) centrifugal pump. This biventricular support was employed, using a single-circuit CentriMag (R) pump, using a 'Y' connection which made weaning from right-sided support and conversion to univentricular support easier and feasible. The patient recovered four weeks later and was explanted off the CentriMag (R) support and did well. This technology allows for the CentriMag (R) to be considered as an early option for biventricular support in the treatment and management of these patients as a bridge to recovery.