Peripartum cardiomyopathy: A challenging case

• Author Details:   
• Sanjay Ponde
• Vidya Gaikwad
• Ashton Dsouza ^*

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Peripartum cardiomyopathy (PPCM) is a rare life-threatening condition which is associated with pregnancy. It is characterized by cardiac failure due to left ventricular (LV) systolic dysfunction. Here, we report the case of a 24-year-old G3P1L1A1 female who presented at 36 weeks of gestation with gestational hypertension, bilateral pedal edema, and a non-reactive non-stress test. She underwent emergency lower segment cesarean section for fetal distress and developed palpitations and dyspnea in the postoperative period. Echocardiography showed severe LV systolic dysfunction (LVEF 20%), global hypokinesia, severe pulmonary artery hypertension (PAH), and a left ventricular clot. Treatrment with diuretics, beta-blockers, and anticoagulants showed significant improvement over five months postpartum, with an LVEF recovery to 45%. This case highlights the critical need for early diagnosis and a multidisciplinary approach in the management of PPCM to improve maternal outcomes and prevent complications such as thromboembolism.