Decisive and timely management - A case of fatal acute decompensated cardiomyopathy at 35 weeks of pregnancy

Peripartum cardiomyopathy (PPCM) is a relatively rare disease occurring most commonly in the postpartum period. A small subset of patients with PPCM present at later stages of pregnancies. The management of PPCM involves guideline-based treatment of cardiac failure. There is a paucity of data regarding timing of delivery and final outcome. Patients presenting with decompensated failure or progressively worsening symptoms need emergent termination of pregnancy along with stabilisation. We present a 35-week pregnant patient in cardiac failure in whom early delivery and effective postoperative management resulted in a favourable outcome for both mother and child.