Peripartum cardiomyopathy is an idiopathic cardiac muscle disorder which presents as heart failure secondary to left ventricular dysfunction in the last month of pregnancy or during 5 months postpartum.It is a major cause of maternal morbidity and mortality. We had a 26 years multigravida with uneventful term pregnancy delivered by caesarean section who developed cardiopulmonary failure within 8 hours of delivery. It was suspected to be either pulmonary embolism or peripartum cardiomyopathy. Echocardiography findings were suggestive of PPCM (ejection fraction <20%).She was treated with diuretics, LMW Heparin, inotropic support and ventilator support.She showed recovered cardiac function on repeat 2Decho.
Key words: PPCM-Peripartum Cardiomyopathy, HF-Heart Failure, Puerperium, Pregnancy, Caesarean Section, ICU management.