title: [Severe pulmonary embolism and acute lower limb ischemia complicating peripartum cardiomyopathy successfully treated by streptokinase].
abstract: Peripartum cardiomyopathy is a cardiac disease at high thromboembolism potential. The authors report a case of peripartum cardiomyopathy admitted for congestive heart failure. Echocardiography found a dilated cardiomyopathy with severely impaired left ventricular systolic function and biventricular thrombi. During hospitalization his condition was complicated by severe bilateral pulmonary embolism and left lower limb arterial acute thrombosis. The treatment consisted of thrombolysis with streptokinase associated with dobutamine (in addition to the conventional treatment of heart failure and bromocriptine). The outcome was favorable, marked by pulmonary and lower limb arterial unblocking.
authors.affiliation: Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso. Electronic address: drnova@hotmail.fr.
authors.forename: N V
authors.initials: NV
authors.lastname: Yaméogo
authors.affiliation: Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso.
authors.forename: E
authors.initials: E
authors.lastname: Kaboré
authors.affiliation: Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso.
authors.forename: A
authors.initials: A
authors.lastname: Seghda
authors.affiliation: Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso.
authors.forename: L J
authors.initials: LJ
authors.lastname: Kagambèga
authors.affiliation: Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso.
authors.forename: H P
authors.initials: HP
authors.lastname: Kaboré
authors.affiliation: Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso.
authors.forename: G R C
authors.initials: GR
authors.lastname: Millogo
authors.affiliation: Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso.
authors.forename: K J
authors.initials: KJ
authors.lastname: Kologo
authors.affiliation: Service de cardiologie, Hôpital national Blaise Compaoré, 03 BP, 7027 Ouagadougou 03, Burkina Faso.
authors.forename: Y
authors.initials: Y
authors.lastname: Kambiré
authors.affiliation: Service de médecine, centre hospitalier universitaire pédiatrique Charles De Gaule, 03 BP, 1198 Ouagadougou 03, Burkina Faso.
authors.forename: A
authors.initials: A
authors.lastname: Bama
authors.affiliation: Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso.
authors.forename: B J Y
authors.initials: BJ
authors.lastname: Toguyeni
authors.affiliation: Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso.
authors.forename: A K
authors.initials: AK
authors.lastname: Samadoulougou
authors.affiliation: Service de cardiologie, centre hospitalier universitaire Yalgado Ouédraogo, 03 BP, 7022 Ouagadougou 03, Burkina Faso.
authors.forename: P
authors.initials: P
authors.lastname: Zabsonré
mesh_terms: D000328:Adult; D009202:Cardiomyopathies / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy*; D002316:Cardiotonic Agents / Q000627:therapeutic use; D004280:Dobutamine / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000188:drug therapy*; D035002:Lower Extremity / Q000098:blood supply*; D011644:Puerperal Disorders / Q000188:drug therapy*; D011655:Pulmonary Embolism / Q000150:complications / Q000188:drug therapy*; D013300:Streptokinase / Q000627:therapeutic use*
chemical_list: D002316:Cardiotonic Agents; D005343:Fibrinolytic Agents; D004280:Dobutamine; D013300:Streptokinase
keywords: Cardiomyopathie du péripartum; Peripartum cardiomyopathy; Streptokinase; Thromboembolie; Thromboembolism; Thrombolyse; Thrombolysis