Postpartum cardiomyopathy (PPCM) is dilated cardiomyopathy seen in the postpartum period in women who no prior history of cardiac diseases. In this case study, coronary angiography was used to determine the etiology of the cardiomyopathy after the decompensated heart failure had regressed. A congenital single coronary artery anomaly was detected by coronary angiography. In this case, PPCM can mimic pneumonia, thus making diagnosis difficult. When there is no response to antibiotic therapy, the obstetrician must consider cardiac disease and appropriate consultation should be obtained as soon as possible. To the best of our knowledge, single coronary artery anomalies coexisting with PPCM has only been documented in one other case in the literature. An association of single coronary artery anomalies with PPCM may be random, or, alternative, might contribute to the composition of the PPCM.
Postpartum cardiomyopathy, coronary artery anomaly, single coronary artery, cardiac disease, fetal chimerism, pregnancy complications
The authors report no conflict of interest.
Copyright © Murat Bozkurt, Gonca Gul Boz, Ahmet Ugur Boz, Duygu Kara, 2013.
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Bozkurt M, Boz GG, Boz AU, Kara D. Coexistence of postpartum cardiomyopathy and single coronary artery anomaly. Proc Obstet Gynecol. 2013 Jul 03;3(2):Article 7 [7 p.]. https://doi.org/10.17077/2154-4751.1192. Free full text article.