Vanishing left ventricular thrombus in a woman with peripartum cardiomyopathy: a case report
Altuwaijri, Wafa A
Kirkpatrick, Iain DC
Jassal, Davinder S
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.
BMC Research Notes. 2012 Oct 02;5(1):544