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

Son, Chang Up; Kang, Kyoung Hwa; Na, Woo Suk; Choung, Min; Ryu, Ji Hoon; Min, Byoung Kang; Kim, Ki Hwan; Lee, Byung Kwan; Rho, Jeong Hoon; Oh, Kwan Young; Yang, Yoon Seok; Hwang, In Taek; Park, Joon Suk

Case Report

Korean Journal of Obstetrics & Gynecology 2006;49(7):1559-1566.
Published online July 1, 2006.

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

Chang Up Son, Kyoung Hwa Kang, Woo Suk Na, Min Choung, Ji Hoon Ryu, Byoung Kang Min, Ki Hwan Kim, Byung Kwan Lee, Jeong Hoon Rho, Kwan Young Oh, Yoon Seok Yang, In Taek Hwang, Joon Suk Park

Department 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.

Key Words: Idiopathic thrombocytopenic purpura (ITP), Peripartum cardiomyopathy