Postpartum dilated cardiomyopathy and antiphospholipid syndrome: A rare association revealed by a pulmonary embolism (case report)

Antiphospholipid syndrome is a rare entity that must be systematically evoked in front of recurrent miscarriages associated with venous or arterial thrombosis, its diagnosis is based on a set of clinico-biological arguments. In rare cases, it can be associated with postpartum cardiomyopathy, which is defined by a dysfunction of the left ventricle with an LVEF<45%, which may or may not be associated with a dilation of the left ventricle. This association is rare and poorly described in the literature, which makes management difficult and uncodified. In this context we report the case of a 33-year-old patient with cardiovascular risk factors such as arterial hypertension 2 previous miscarriages and repeated phlebitis, she was admitted to the emergency room for the management of acute dyspnea related to a proximal right pulmonary embolism and in whom the transthoracic echocardiography had objectivated a dilated left ventricle and an alteration of the ejection fraction of the left ventricle, the coronary angiography came back without particularity as part of the etiological work-up, a biological work-up was carried out, which came back in favor of an antiphospholipid syndrome. This case shows diagnostic difficulties and management of this disease

Spontaneous coronary dissection: A rare etiology of acute coronary syndrome

Spontaneous coronary artery dissection is a rare etiology of acute coronary syndrome and falls into the category of myocardial infarction with no obstructive coronary arteries. It occurs mainly in young women with no cardiovascular risk factors. Diagnosis is often made by coronary angiography and sometimes by endocoronary imaging. the association of coronary dissection and ACS is rare, especially in men. The management is poorly codified and depends mainly on the habits of the practitioner, and may be medical, percutaneous or surgical. the outcome is often favorable, but sometimes there is a risk of recurrence with a guarded prognosis.In this context, we report the case of a 43-year-old patient with antecedent spontaneous coronary dissection, admitted to our unit for the management of acute coronary syndrome following recurrent coronary dissection