title: Case Report: Acute Limb Ischaemia and Gangrene associated with Peripartum Cardiomyopathy.
abstract: Thromboembolic complications are frequent in patients with peripartum cardiomyopathy (PPCM). Peripheral artery occlusions are however rare. This case report describes a 30-year-old grand multiparous woman with PPCM complicated by acute lower limb ischaemia and gangrene. This followed left intraventricular thrombi despite maintenance of sinus rhythm. We suspect that the thrombosis is caused by the hypercoagulable state of peripartum period, ventricular dilatation and hypokinesis. The impacts of economic and sociocultural factors in the management of this rare complication of PPCM in a resource depleted nation are highlighted.
  
  
  BACKGROUND
  peripartum cardiomyopathy, limb ischaemia.
authors.affiliation: Department of Medicine Usmanu Danfodiyo University Teaching Hospital PMB 2370, Sokoto, Nigeria. E-mail: sisezuo@skannet.com.
authors.forename: S A
authors.initials: SA
authors.lastname: Isezuo
authors.forename: C H
authors.initials: CH
authors.lastname: Njoku
authors.forename: L
authors.initials: L
authors.lastname: Airede
authors.forename: I
authors.initials: I
authors.lastname: Yaqoob
authors.forename: A A
authors.initials: AA
authors.lastname: Musa
authors.forename: O
authors.initials: O
authors.lastname: Bello
mesh_terms: D009202:Cardiomyopathies; D005734:Gangrene; D006801:Humans; D009549:Nigeria; D058725:Peripartum Period; D011249:Pregnancy Complications, Cardiovascular; D011644:Puerperal Disorders