title: [Postpartum cardiomyopathy revealed by acute lower limb ischemia].
abstract: 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.
authors.affiliation: Service de cardiologie B, CHU Rabat-Salé, Maroc. lbsoumiya@caramail.com
authors.forename: S L
authors.initials: SL
authors.lastname: Bennani
authors.forename: M
authors.initials: M
authors.lastname: Loubaris
authors.forename: I
authors.initials: I
authors.lastname: Lahlou
authors.forename: N
authors.initials: N
authors.lastname: Haddour
authors.forename: M
authors.initials: M
authors.lastname: Badidi
authors.forename: R
authors.initials: R
authors.lastname: Bouhouch
authors.forename: M
authors.initials: M
authors.lastname: Cherti
authors.forename: M
authors.initials: M
authors.lastname: Arharbi
mesh_terms: 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*