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Brain & Heart

CASE REPORT
Pedunculated left endoventricular thrombosis

complicated by cerebral stroke in patient with
suspected peripartum cardiomyopathy: A

case report

2†
1†
2†
Kristian Galanti , Roberta Magnano , Laura Pezzi , Mario Di Marino ,
1†
Alberto D’Alleva , Daniele Forlani , Piergiusto Vitulli ,
2
2
2
3
Vincenzo Di Egidio , Gabriele Di Giammarco , Leonardo Paloscia ,
2
4
Sabina Gallina , and Massimo Di Marco *
1
2†
1 Department of Neuroscience, Imaging and Clinical Sciences, G. D’Annunzio University of Chieti-
Pescara, 66100, Chieti, Italy
2 Department of Cardiology and ICCU, Santo Spirito Hospital, Pescara, 65124, Italy
3 Department of Radiology, Santo Spirito Hospital, Pescara, 65124, Italy
4 Department of Cardiac Surgery, G. D’Annunzio University of Chieti-Pescara, Chieti, 66100, Italy
Abstract
Peripartum cardiomyopathy (PPMC) is an infrequent form of cardiomyopathy, whose
† These authors contributed equally main presentation is characterized by systolic dysfunction that commonly emerges
to this work. in the early postpartum period. Acute heart failure symptoms such as congestion
*Corresponding author: and dyspnea are common manifestations of PPMC. Here, we present a case of a
Massimo Di Marco 32-year-old female who, after hospitalization, manifested dyspnea and thoracic
(dimarcom@hotmail.com) pain linked to the findings a left endoventricular thrombus. After the admission to
Citation: Galanti K, Magnano V, the intensive cardiovascular care unit, heart failure and anticoagulant therapies as
Pezzi V, et al., 2023, Pedunculated well as non-steroidal anti-inflammatory drugs were administered, leading to initial
left endoventricular thrombosis
complicated by cerebral stroke in improvement of the left ventricular global function. Five days after the treatment,
patient with suspected peripartum the patient experienced aphasia and right hemiplegia. The cerebral angiography
cardiomyopathy: A case report. documented an M1 segment occlusion. After treating the occlusion with stent
Brain & Heart, 1(2): 1115.
https://doi.org/10.36922/bh.1115 retriever thrombectomy, the symptoms regressed and she attained full recovery.
Therefore, surgical thrombectomy should be prioritized as the treatment approach
Received: June 21, 2023
to removing the pedunculated left ventricular thrombus, considering the apical
Accepted: October 12, 2023 morphology of the pedunculated left ventricular thrombus and if the anticoagulant
Published Online: November 3, therapy gives rise to side effects.
2023
Copyright: © 2023 Author(s). Keywords: Peripartum cardiomyopathy; Apical thrombus; Stroke; Stent retriever
This is an Open-Access article
distributed under the terms of the thrombectomy; Surgical thrombectomy
Creative Commons Attribution
License, permitting distribution,
and reproduction in any medium,
provided the original work is
properly cited. 1. Background
Publisher’s Note: AccScience Peripartum cardiomyopathy (PPMC) is a rare, idiopathic cardiomyopathy, defined
Publishing remains neutral with by global systolic dysfunction that emerges in late pregnancy period or more often in
regard to jurisdictional claims in [1]
published maps and institutional the early postpartum period . It is difficult to diagnose such a condition in patients
affiliations. with previous established cardiomyopathy and for this reason in 2010, the European

Volume 1 Issue 2 (2023) 1 https://doi.org/10.36922/bh.1115