[Postpartum cardiomyopathy revealed by acute lower limb ischemia].
Peripartum cardiomyopathy is an uncommon disease defined as a dilated cardiomyopathy during puerperium, with left ventricular dysfunction (ejection fraction < 45%) without any other etiology. The etiology of this disease remains uncertain and it can be revealed in a variety of ways. Thrombo-embolic complications may be, although infrequently, the initial manifestation of peripartum cardiomyopathy, which is usually an intracardiac thrombosis. Lower extremity embolism is uncommon. The case reported is about a 39-year-old woman, multiparous, who presented, 40 days after delivery, a global heart failure with atrial fibrillation, revealed by left lower extremity thromboembolism. After echocardiographic and etiologic examinations, the diagnosis was established as peripartum cardiomyopathy. It evolved favourably after 2 months of medical treatment: the symptoms and cardiomegaly decreased, left ventricular systolic function was improved.
Bennani
S L
SL
Service de cardiologie B, CHU Rabat-Salé, Maroc. lbsoumiya@caramail.com
Loubaris
M
M
Lahlou
I
I
Haddour
N
N
Badidi
M
M
Bouhouch
R
R
Cherti
M
M
Arharbi
M
M
D000208:Acute Disease; D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis / Q000209:etiology; D007511:Ischemia / Q000209:etiology*; D007866:Leg / Q000098:blood supply*; D011644:Puerperal Disorders / Q000150:complications*