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Vanishing left ventricular thrombus in a woman with peripartum cardiomyopathy: a case report

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 dysfu...

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Detalles Bibliográficos
Autores principales: Altuwaijri, Wafa A, Kirkpatrick, Iain DC, Jassal, Davinder S, Soni, Anita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3551696/
https://www.ncbi.nlm.nih.gov/pubmed/23031314
http://dx.doi.org/10.1186/1756-0500-5-544
Descripción
Sumario: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. CASE PRESENTATION: 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. CONCLUSION: We review the presentation, diagnosis and management of LV thrombi in the clinical setting of PPCM.