title: Dual coronary emboli in peripartum cardiomyopathy.
abstract: Coronary emboli are rare but devastating events. We present the case of a 31-year-old woman with peripartum cardiomyopathy and mural thrombus. She was admitted with an acute, non-ST elevation myocardial infarction. Two emboli were seen on the coronary angiogram: one in the left anterior descending coronary artery and a second in the left circumflex artery. Each embolus resolved after local infusion of eptifibatide at the time of angiography. There has been 1 report in the English-language medical literature of a similar coronary embolic event in the setting of peripartum cardiomyopathy; however, in that case, only 1 embolus was found. Our case further documents embolic coronary occlusion as a consequence of peripartum cardiomyopathy.
authors.affiliation: Department of Internal Medicine, Carraway Methodist Medical Center, Birmingham, Alabama, USA. lcbox@yahoo.com
authors.forename: Lyndon C
authors.initials: LC
authors.lastname: Box
authors.forename: Viktor
authors.initials: V
authors.lastname: Hanak
authors.forename: Joaquin G
authors.initials: JG
authors.lastname: Arciniegas
mesh_terms: D000328:Adult; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006331:Heart Diseases / Q000150:complications*; D006801:Humans; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology*; D011644:Puerperal Disorders / Q000000981:diagnostic imaging; D013927:Thrombosis / Q000150:complications*
references.citation: JAMA. 2000 Mar 1;283(9):1183-8
references.pmid: 10703781
references.citation: J Reprod Med. 2000 Apr;45(4):351-3
references.pmid: 10804495
references.citation: Chest. 2001 Aug;120(2):681-3
references.pmid: 11502681
references.citation: Heart. 1997 Nov;78(5):515-6
references.pmid: 9415016
references.citation: Mayo Clin Proc. 2002 May;77(5):500-1
references.pmid: 12005001
references.citation: Neurology. 1982 Jun;32(6):668-71
references.pmid: 7201099
references.citation: West Indian Med J. 1992 Jun;41(2):79-80
references.pmid: 1523839
references.citation: Circ Res. 2002 Mar 8;90(4):428-34
references.pmid: 11884372