摘要
Introduction: Peripartum cardiomyopathy (PPCM) is a dilated cardiomyopathy occurring in the last month of pregnancy or the first five months postpartum without pre-existing cardiovascular pathology. It is a major cause of pregnancy-related heart failure with high morbidity and mortality. In severe forms (10% to 15% of cases), thrombo-embolic complications are the main cause. The initial hemodynamic evolution is totally unpredictable and sometimes extremely brutal and fatal. The objective of this work was to show the often pejorative evolution of PPCM in our country. Methods: We report in this work three serious clinical cases revealing the complications of this PPCM among patients admitted to the cardiology department of the CHUD-B/A in 2022 for heart failure. The data were collected according to the Declaration of Helsinki. Patients and Observations: The first case was a PPCM with severe left ventricular (LV) systolic dysfunction complicated by spontaneous left intraventricular contrast and right superficial sylvian ischemic stroke. The second case reports a global cardiac decompensation of a PPCM with severe LV systolic dysfunction complicated by an apical thrombus. The third case is that of a state of cardiogenic shock complicating a PPCM with severe LV systolic dysfunction. Among our 03 patients presenting these severe forms of PPCM, the evolution, in spite of the symptomatic and prognostic treatments of the heart failure, and even of the complications, was unfavourable with death in two of them. Conclusion: Complications of PPCM are frequent and fatal in Benin.
Introduction: Peripartum cardiomyopathy (PPCM) is a dilated cardiomyopathy occurring in the last month of pregnancy or the first five months postpartum without pre-existing cardiovascular pathology. It is a major cause of pregnancy-related heart failure with high morbidity and mortality. In severe forms (10% to 15% of cases), thrombo-embolic complications are the main cause. The initial hemodynamic evolution is totally unpredictable and sometimes extremely brutal and fatal. The objective of this work was to show the often pejorative evolution of PPCM in our country. Methods: We report in this work three serious clinical cases revealing the complications of this PPCM among patients admitted to the cardiology department of the CHUD-B/A in 2022 for heart failure. The data were collected according to the Declaration of Helsinki. Patients and Observations: The first case was a PPCM with severe left ventricular (LV) systolic dysfunction complicated by spontaneous left intraventricular contrast and right superficial sylvian ischemic stroke. The second case reports a global cardiac decompensation of a PPCM with severe LV systolic dysfunction complicated by an apical thrombus. The third case is that of a state of cardiogenic shock complicating a PPCM with severe LV systolic dysfunction. Among our 03 patients presenting these severe forms of PPCM, the evolution, in spite of the symptomatic and prognostic treatments of the heart failure, and even of the complications, was unfavourable with death in two of them. Conclusion: Complications of PPCM are frequent and fatal in Benin.
作者
Léopold Houétondji Codjo
Serge Hugues Mahougnon Dohou
Sèdjro Raoul Atade
Fabrice Atika
Hamondji Nicolas Amegan
Chabi Olaniran Alphonse Biaou
Kayivi Murielle Hounkponou
Djidjoho Arnaud Sonou
Mahouna Philippe Adjagba
Marielle Dorine Soude
Dominique Sacca
Mèdéssè Rolande Quenum
Aude Sourou Bodjrenou
Martin Dèdonougbo Houenassi
Léopold Houétondji Codjo;Serge Hugues Mahougnon Dohou;Sèdjro Raoul Atade;Fabrice Atika;Hamondji Nicolas Amegan;Chabi Olaniran Alphonse Biaou;Kayivi Murielle Hounkponou;Djidjoho Arnaud Sonou;Mahouna Philippe Adjagba;Marielle Dorine Soude;Dominique Sacca;Mèdéssè Rolande Quenum;Aude Sourou Bodjrenou;Martin Dèdonougbo Houenassi(Cardiology Teaching and Research Unit (CNHU-HKM), Faculty of Health Sciences, University of Abomey Calavi, Cotonou, Benin;Teaching and Research Unit in Cardiology (CHUD-B/A), Faculty of Medicine, University of Parakou, Parakou, Benin;Teaching and Research Department of Gynecology and Obstetric (CHUD-B/A), Faculty of Medicine, University of Parakou, Parakou, Benin;Doctoral School of Health Sciences, University of Abomey Calavi, Cotonou, Benin;Regional Institute of Public Health, University of Abomey Calavi, Cotonou, Benin;Cardiology Teaching and 6 Research Unit (CHU-MEL), Faculty of Health Sciences, University of Abomey Calavi, Cotonou, Benin;Cardiology Department of Atacora-Donga Department Hospital Center (CHD-A/D), Natitingou, Benin;Teaching and Research Unit in Cardiology, Faculty of Medicine (CHU-OP), University of Abomey Calavi, Cotonou, Benin)
