Case 1: a 38-year-old African female, para 3+0, gave birth to a healthy male newborn weighing 3,010 g through an emergency cesarean section (EMCS) (Table 1). After a period of five days, she developed difficulty in breathing (New York Heart Association (NYHA) class IV) and excessive productive cough with hemoptysis. Past medical history was non-contributory. Upon examination, the patient appeared to be sick looking in severe respiratory distress with a respiratory rate of 30 breaths per minute. Blood pressure was found to be 125/81 mm Hg, however, the patient had tachycardia of 125 beats per minute and oxygen saturation of 79% on room air and 94% on oxygen. Furthermore, the presence of lower limb edema was noted accompanied by jugular venous distention, S3 gallop, and hepatomegaly of 4 cm below the costal margin. Bilateral crepitations were also heard on respiratory examination. The laboratory investigations on admission revealed a normal hematological profile apart from an elevated white blood cell count of 11.84x109/L. COVID-19 and sputum gene X-pert tests for tuberculosis were negative. An elevated D-dimer level was found of 1595 ug/dl. Radiological investigations including a plain chest X-ray, electrocardiograph, echocardiogram (Figure 1), and computed tomography (CT) pulmonary angiogram were performed whose findings have been summarized in Table 2 below. Of note, the patient was found to have bilateral pleural effusion and a left ventricular apical thrombus. After careful interpretation of all the results, the patient was diagnosed with new-onset PPCM in cardiac failure and was immediately admitted to the intensive care unit (ICU). Here, the patient was intubated and started on the medications summarized in Table 3. Nebulization was done every 4 hours and chest physiotherapy was initiated. On day five of admission, the patient s condition improved and was transferred to the acute gynecology ward on oxygen. The patient was discharged on day 20 after admission with the same medications through the cardiac clinic. She remains well to date with no further complications reported.