Isezuo S A, Njoku C H, Airede L, Yaqoob I, Musa A A, Bello O
Department of Medicine Usmanu Danfodiyo University Teaching Hospital PMB 2370, Sokoto, Nigeria. E-mail:
Niger Postgrad Med J. 2005 Sep;12(3):237-40.
Thromboembolic complications are frequent in patients with peripartum cardiomyopathy (PPCM). Peripheral artery occlusions are however rare. This case report describes a 30-year-old grand multiparous woman with PPCM complicated by acute lower limb ischaemia and gangrene. This followed left intraventricular thrombi despite maintenance of sinus rhythm. We suspect that the thrombosis is caused by the hypercoagulable state of peripartum period, ventricular dilatation and hypokinesis. The impacts of economic and sociocultural factors in the management of this rare complication of PPCM in a resource depleted nation are highlighted.
peripartum cardiomyopathy, limb ischaemia.
血栓栓塞并发症在围产期心肌病（PPCM）患者中很常见。然而，外周动脉闭塞却很罕见。本病例报告描述了一名30岁多产的女性，患有PPCM并伴有急性下肢缺血和坏疽。尽管维持窦性心律，但仍出现了左心室内血栓。我们怀疑血栓形成是由围产期的高凝状态、心室扩张和运动减弱引起的。文中强调了在一个资源匮乏的国家，经济和社会文化因素对这种PPCM罕见并发症管理的影响。
围产期心肌病，肢体缺血
