Does Right ventricular involvement increase risk of thrombus formation in post-partum cardiomyopathy?

Apical thrombus can be seen in patients with post-partum cardiomyopathy (PPCMP). However it is very rare to have clot in both ventricles as reported by Dr.Koc et al. In those cases there was also dysfunction of the right ventricle (RV).We also had a patient with PPCMP with symptomatic right ventricular dysfunction who developed large left ventricular and left atrial thrombus complicated by stroke 18 months after diagnosis of PPCMP. Although there are no recommendations for prophylacic anticoagulation, it should be considered in patients with RV failure, especially if they are symptomatic.