Key result
Multivisceral transplantation can trigger stress cardiomyopathy, as demonstrated in a 61-year-old man who developed the condition on postoperative day 2 and recovered by day 23 with supportive care.
Why the study?
Stress cardiomyopathy is a recognized complication of major surgeries, but had not previously been reported in the context of multivisceral transplantation.
Case Report (n=1)
No
This case report highlights that stress cardiomyopathy can occur following multivisceral transplantation despite intraoperative VV-ECMO support, requiring heightened vigilance and supportive management.
Multivisceral transplantation (MVT) is an extraordinarily complex surgical procedure that imposes significant physiological stress driven by hemodynamic instability, fluid shifts, and severe bleeding. These factors can profoundly affect cardiovascular function and increase the risk of complications. Stress cardiomyopathy (Takotsubo syndrome), a transient non-ischemic heart failure characterized by acute left ventricular dysfunction, is a recognized complication of major surgeries but has not previously been reported in the context of MVT. This case report describes the occurrence, diagnosis, perioperative management, and favorable outcome of stress cardiomyopathy in a patient undergoing MVT with intraoperative venovenous extracorporeal membrane oxygenation support. It highlights the diagnostic criteria for stress cardiomyopathy, including echocardiographic findings and the application of the InterTAK score. It emphasizes the critical importance of heightened awareness, vigilance, and timely intervention to achieve a favorable clinical outcome.
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Souki et al. (2025) conducted a case report in Stress Cardiomyopathy (n=1). Multivisceral transplantation was evaluated on Development and resolution of stress cardiomyopathy. Multivisceral transplantation can trigger stress cardiomyopathy, as demonstrated in a 61-year-old man who developed the condition on postoperative day 2 and recovered by day 23 with supportive care.
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