title: Vanishing left ventricular thrombus in a woman with peripartum cardiomyopathy: a case report.
abstract: BACKGROUND
  Peripartum cardiomyopathy (PPCM) is a rare cardiac disorder characterized by the development of heart failure in the last month of pregnancy or up to 5 months postpartum in women without other identifiable causes of cardiac failure. The combination of left ventricular (LV) systolic dysfunction and hypercoaguability can cause thromboembolic complications including intra-cardiac thrombi.
  
  
  METHODS
  A 25-year-old Caucasian female with PPCM demonstrated multiple thrombi in the LV on transthoracic echocardiography. Following anticoagulation with parenteral heparin, a cardiac MRI four days later demonstrated near resolution of the thrombi.
  
  
  CONCLUSIONS
  We review the presentation, diagnosis and management of LV thrombi in the clinical setting of PPCM.
authors.affiliation: Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
authors.forename: Wafa A
authors.initials: WA
authors.lastname: Altuwaijri
authors.forename: Iain D C
authors.initials: ID
authors.lastname: Kirkpatrick
authors.forename: Davinder S
authors.initials: DS
authors.lastname: Jassal
authors.forename: Anita
authors.initials: A
authors.lastname: Soni
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000494:pharmacology / Q000627:therapeutic use*; D002311:Cardiomyopathy, Dilated / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000503:physiopathology; D005260:Female; D006493:Heparin / Q000494:pharmacology / Q000627:therapeutic use*; D006801:Humans; D058725:Peripartum Period; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000503:physiopathology; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000503:physiopathology; D014463:Ultrasonography; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000503:physiopathology
chemical_list: D000925:Anticoagulants; D006493:Heparin