Peripheral Vascular Disease: An Unusual Presentation of Peripartum Cardiomyopathy.

ABSTRACT

Peripartum cardiomyopathy (PPCM) usually presents with the heart failure in the last month of pregnancy or up to 5 months post-partum period, without any underlying cause of cardiac failure. This is a hypercoagulable state associated with left ventricular (LV) systolic dysfunction, thereby causing thromboembolic complications. We report a case of 2 months post-partum female who presented with left lower limb arterial thrombotic occlusion which turned out to be secondary to embolization from a large LV thrombus resulting from PPCM. The present case is an unusual presentation of PPCM that usually presents with a clinical feature of cardiac failure.