Cardiomyopathy with Pancytopenia in a Pregnancy: Case Reports

Yasaman Esfahanian; Mostafa Mohammadi; Parsa Mohammadi

doi:10.18502/aacc.v10i4.16273

Yasaman Esfahanian Department of Anesthesiology and Critical Care, Tehran University of Medical Sciences, Tehran, Iran.
Mostafa Mohammadi Department of Anesthesiology and Critical Care, Tehran University of Medical Sciences, Tehran, Iran.
Parsa Mohammadi Department of Anesthesiology and Critical Care, Tehran University of Medical Sciences, Tehran, Iran.

DOI: https://doi.org/10.18502/aacc.v10i4.16273

Keywords: Cardiomyopathy; Pancytopenia; Pregnancy; Vitamin B12 deficiency

Abstract

Anemia, a common symptom in pregnancy, can lead to life-threatening cardiomyopathy.

A 30-years old gravida 2 para 1 woman was admitted at 34 weeks of gestational age with asymptomatic pancytopenia and vitamin B12 deficiency in the laboratory tests. She also had a diet-controlled gestational diabetes, megaloblastic changes in Bone marrow aspiration and cardiomyopathy shown by echocardiography. The patient recovered from pancytopenia and cardiomyopathy after one week treatment with vitamin B12 and folate.

In this case, cardiomyopathy worsened with anemia. By treating vitamin B12 deficiency, cardiomyopathy can be prevented or controlled during pregnancy. Careful consideration is needed when assessing anemia in pregnant women on vegetarian diet and at higher risk.