{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T09:10:13Z","timestamp":1790241013547,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T00:00:00Z","timestamp":1759017600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T00:00:00Z","timestamp":1759017600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Peripartum cardiomyopathy (PPCM) is a rare form of heart failure occurring during late pregnancy or within 5\u2009months postpartum, its etiology remaining elusive. While typically characterized by left ventricular dysfunction, it may present with intracardiac thrombi, raising the risk of systemic embolization. Here, we report an unusual case of PPCM featuring biventricular intracardiac thrombi, highlighting the importance of a thorough investigation for potential underlying causes. This is a case of a black African, multiparous woman aged 44\u2009years with an unremarkable past medical history, who presented with symptoms suggestive of acute heart failure 5\u2009months after her last delivery. A 2D Transthoracic Echocardiography showed multiple biventricular intracardiac thrombi, a rare complication of PPCM without a systemic embolic event. Further, laboratory tests for evidence of a hypercoagulable state came out negative. Treatment involved a combination of acute heart failure and anticoagulation followed by optimal medical therapy for chronic heart failure, resulting in improved symptoms for heart failure, cardiac function, and significant thrombi resolution after 8\u2009weeks. Multiple biventricular intracardiac thrombi are an uncommon finding in PPCM, underscoring the importance of vigilant diagnosis and timely management. Although the management of PPCM remains challenging due to limited evidence, an individualized approach to heart failure therapy and anticoagulation can lead to meaningful clinical improvement and favorable outcomes.<\/jats:p>","DOI":"10.1002\/ccr3.71014","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T03:38:27Z","timestamp":1759117107000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Multiple Biventricular Intracardiac Thrombi\u2014An Unusual Finding in Peripartum Cardiomyopathy: A Case Report"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5268-491X","authenticated-orcid":false,"given":"Gidion","family":"Edwin","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, School of Medicine and Dentistry The University of Dodoma  Dodoma Tanzania"},{"name":"Department of Internal Medicine The Benjamin Mkapa Hospital  Dodoma Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yohana","family":"Mbishi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, School of Medicine and Dentistry The University of Dodoma  Dodoma Tanzania"},{"name":"Department of Internal Medicine The Benjamin Mkapa Hospital  Dodoma Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4071-6284","authenticated-orcid":false,"given":"Baraka","family":"Alphonce","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, School of Medicine and Dentistry The University of Dodoma  Dodoma Tanzania"},{"name":"Department of Cardiology The Benjamin Mkapa Hospital  Dodoma Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Meda","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, School of Medicine and Dentistry The University of Dodoma  Dodoma Tanzania"},{"name":"Department of Internal Medicine The Benjamin Mkapa Hospital  Dodoma Tanzania"},{"name":"Department of Cardiology The Benjamin Mkapa Hospital  Dodoma Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,28]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcac.2017.09.005"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy340"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.38748"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jccase.2013.10.002"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1756\u20100500\u20105\u2010544"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2019.11.014"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2006.02.008"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.AMJMS.2017.10.005"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytab001"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.020491"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.3329\/JHPN.V29I2.7862"},{"key":"e_1_2_12_13_1","first-page":"486","article-title":"Peripartal Cardiomyopathy With Biventricular Thrombi Presenting as Acute Saddle Embolism\u2014A Case Report","volume":"38","author":"Bhat P. 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