Pulmonary Embolism Revealing Meadows Syndrome: Case Study

Abstract

Meadows syndrome is a rare entity, defined as systolic heart failure occurring peripartum in the absence of underlying heart disease. Thromboembolic manifestations can complicate this syndrome but are rarely revealing. We report the case of a 30-year-old patient, without a history of cardiac, multiparous, who presented 3 months after delivery, acute dyspnea. Distal pulmonary embolism was objectified by pulmonary angiography. But the final diagnosis after an analysis of clinical, ultrasound and etiological data was peripartum cardiomyopathy complicated by embolism pulmonary. The evolution under medical treatment was hardly favorable with a worsening of systolic function complicated by a new episode of bilateral proximal pulmonary embolism after 1 month in a context of covid 19 infection.