Key result
In a 66-year-old man who developed Takotsubo cardiomyopathy after liver transplantation, treatment with an intra-aortic balloon pump and pharmacologic support led to complete cardiac recovery.
Case Report (n=1)
No
Takotsubo cardiomyopathy is a rare but reversible complication following liver transplantation that can be successfully managed with prompt medical and mechanical circulatory support.
Post-liver transplant TTC may mimic AMI and warrant echocardiography; leaves open incidence, risk factors, and management strategies.
Takotsubo cardiomyopathy (TTC) is a rare clinical syndrome defined as a profound but reversible left ventricular dysfunction in the absence of coronary artery disease. We describe the clinical features and management of TC manifesting in the postoperative period in a patient undergoing liver transplantation. Two days after surgery, the patient developed clinical features of acute myocardial infarction. Ecochardiography revealed hypokinesis of the left ventricle. Coronary angiography revealed normal arteries without any stenosis or obstruction. The patient required vasopressor and inotropic support. The placement of intra-aortic balloon pump had a beneficial effect on the management of heart failure. The patient had a complete recovery of cardiac function 40 days after surgery. TC is a possible occurrence after liver transplant. Awareness of this condition is essential as early diagnosis and prompt management can save the patient's life.
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Margarita Anders (2011) conducted a case report in Takotsubo cardiomyopathy (n=1). Intra-aortic balloon pump and pharmacologic support was evaluated on Recovery of cardiac function. In a 66-year-old man who developed Takotsubo cardiomyopathy after liver transplantation, treatment with an intra-aortic balloon pump and pharmacologic support led to complete cardiac recovery.
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