Three vanishing masses in the heart

A 26 year primigravida, 8 days after delivering a still born baby presented with gradually progressive dyspnea from New York Heart Association (NYHA) class II to class III over a period of 1 week. 2D-Echocardiography showed severely compromised left ventricular systolic function with evidence of thrombi in three different chambers of the heart. All the clots disappeared after an effective anticoagulation therapy without any embolic complications. The hypercoagulable state of the peripartum period and the severe biventricular dysfunction led to the formation of clots. <Learning objective: This case underscores the importance of careful screening of the right side of the heart in cases of peripartum cardiomyopathy. In cases of doubt, cardiac magnetic resonance imaging can be performed to determine the nature of the masses. This case also highlights the importance of effective anticoagulation therapy and the need to be vigilant for any thromboembolic phenomenon during the anticoagulation therapy.>.