Postpartum dilated cardiomyopathy and antiphospholipid syndrome: A rare association revealed by a pulmonary embolism (case report)
Antiphospholipid syndrome is a rare entity that must be systematically evoked in front of recurrent miscarriages associated with venous or arterial thrombosis, its diagnosis is based on a set of clinico-biological arguments. In rare cases, it can be associated with postpartum cardiomyopathy, which i...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323008816 |
| _version_ | 1827339763106971648 |
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| author | Zakaria El Marraki Karim Mounaouir Nadia Fellat Rokaya Fellat |
| author_facet | Zakaria El Marraki Karim Mounaouir Nadia Fellat Rokaya Fellat |
| author_sort | Zakaria El Marraki |
| collection | DOAJ |
| description | Antiphospholipid syndrome is a rare entity that must be systematically evoked in front of recurrent miscarriages associated with venous or arterial thrombosis, its diagnosis is based on a set of clinico-biological arguments. In rare cases, it can be associated with postpartum cardiomyopathy, which is defined by a dysfunction of the left ventricle with an LVEF<45%, which may or may not be associated with a dilation of the left ventricle. This association is rare and poorly described in the literature, which makes management difficult and uncodified. In this context we report the case of a 33-year-old patient with cardiovascular risk factors such as arterial hypertension 2 previous miscarriages and repeated phlebitis, she was admitted to the emergency room for the management of acute dyspnea related to a proximal right pulmonary embolism and in whom the transthoracic echocardiography had objectivated a dilated left ventricle and an alteration of the ejection fraction of the left ventricle, the coronary angiography came back without particularity as part of the etiological work-up, a biological work-up was carried out, which came back in favor of an antiphospholipid syndrome. This case shows diagnostic difficulties and management of this disease. |
| first_indexed | 2024-03-07T20:05:27Z |
| format | Article |
| id | doaj.art-c7cc58e7bafd405abe87602beca5c506 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-07T20:05:27Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-c7cc58e7bafd405abe87602beca5c5062024-02-28T05:12:57ZengElsevierRadiology Case Reports1930-04332024-04-0119412981303Postpartum dilated cardiomyopathy and antiphospholipid syndrome: A rare association revealed by a pulmonary embolism (case report)Zakaria El Marraki0Karim Mounaouir1Nadia Fellat2Rokaya Fellat3Department of Cardiac Intensive Care, Cardiology Intensive Care Unit, Ibn Sina University Hospital, Rabat, Morocco; Corresponding author.Department of Cardiac Intensive Care, Faculty of Medicine and Pharmacy, Casablanca, MoroccoDepartment of Cardiac Intensive Care, Cardiology Intensive Care Unit, Ibn Sina University Hospital, Rabat, MoroccoDepartment of Clinical Cardiology, Faculty of Medicine and Pharmacy, Rabat, MoroccoAntiphospholipid syndrome is a rare entity that must be systematically evoked in front of recurrent miscarriages associated with venous or arterial thrombosis, its diagnosis is based on a set of clinico-biological arguments. In rare cases, it can be associated with postpartum cardiomyopathy, which is defined by a dysfunction of the left ventricle with an LVEF<45%, which may or may not be associated with a dilation of the left ventricle. This association is rare and poorly described in the literature, which makes management difficult and uncodified. In this context we report the case of a 33-year-old patient with cardiovascular risk factors such as arterial hypertension 2 previous miscarriages and repeated phlebitis, she was admitted to the emergency room for the management of acute dyspnea related to a proximal right pulmonary embolism and in whom the transthoracic echocardiography had objectivated a dilated left ventricle and an alteration of the ejection fraction of the left ventricle, the coronary angiography came back without particularity as part of the etiological work-up, a biological work-up was carried out, which came back in favor of an antiphospholipid syndrome. This case shows diagnostic difficulties and management of this disease.http://www.sciencedirect.com/science/article/pii/S1930043323008816Pulmonary embolismThoracic angioscanAntiphosphosholipid syndrome |
| spellingShingle | Zakaria El Marraki Karim Mounaouir Nadia Fellat Rokaya Fellat Postpartum dilated cardiomyopathy and antiphospholipid syndrome: A rare association revealed by a pulmonary embolism (case report) Radiology Case Reports Pulmonary embolism Thoracic angioscan Antiphosphosholipid syndrome |
| title | Postpartum dilated cardiomyopathy and antiphospholipid syndrome: A rare association revealed by a pulmonary embolism (case report) |
| title_full | Postpartum dilated cardiomyopathy and antiphospholipid syndrome: A rare association revealed by a pulmonary embolism (case report) |
| title_fullStr | Postpartum dilated cardiomyopathy and antiphospholipid syndrome: A rare association revealed by a pulmonary embolism (case report) |
| title_full_unstemmed | Postpartum dilated cardiomyopathy and antiphospholipid syndrome: A rare association revealed by a pulmonary embolism (case report) |
| title_short | Postpartum dilated cardiomyopathy and antiphospholipid syndrome: A rare association revealed by a pulmonary embolism (case report) |
| title_sort | postpartum dilated cardiomyopathy and antiphospholipid syndrome a rare association revealed by a pulmonary embolism case report |
| topic | Pulmonary embolism Thoracic angioscan Antiphosphosholipid syndrome |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323008816 |
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