Stroke and Multi-Organic Infarction Revealing Peri-Partum Cardiomyopathy, an Unusual Presentation: About a Case

Abstract

Peripartum cardiomyopathy is a rare cause of pregnancy-related strokes.We present a case of cerebral infarction with multi-organ ischemic damage complicating peripartum cardiomyopathy.A 25-year-old patient, with no cardiovascular risk factor, was admitted to Neurology at the University Hospital of Guadeloupe, for phasic disorders occurring eleven weeks postpartum of a pregnancy marked by gravidic hypertension.The assessments carried out revealed cerebral, splenic, renal infarctions and mesenteric thrombosis on cardiomyopathy with 25% LVEF and left intraventricular thrombus.Curative anticoagulation and treatment of heart failure were initiated on the first day of hospitalization, with a favorable outcome.A cardiological follow-up was organised, noting a progressive clinical improvement at a distance.Our case recalls the importance of a systematic medical follow-up in postpartum, and raises the possible gravity of the infarctions related to the CMPP, requiring an optimal care involving Cardiologists and Neurologists.