Key result
Veno-arterial peripheral extracorporeal membrane oxygenation successfully managed cardiogenic shock secondary to stress-induced cardiomyopathy after liver transplantation, with complete recovery.
Why the study?
Does veno-arterial peripheral extracorporeal membrane oxygenation (VA-ECMO) improve outcomes in a patient with cardiogenic shock secondary to stress-induced cardiomyopathy after liver transplantation?
Case Report (n=1)
Does veno-arterial peripheral extracorporeal membrane oxygenation (VA-ECMO) improve outcomes in a patient with cardiogenic shock secondary to stress-induced cardiomyopathy after liver transplantation?
Veno-arterial ECMO can be a safe and effective rescue therapy for cardiogenic shock secondary to stress-induced cardiomyopathy following liver transplantation.
VA-ECMO may serve as rescue therapy in post-transplant stress cardiomyopathy shock; case report leaves open broader efficacy and safety.
We report the case of a female patient, 58 years of age, without known heart disease, who underwent liver transplantation without complications. On the second postoperative day, the patient developed cardiogenic shock secondary to stress-induced cardiomyopathy (Takotsubo-like syndrome). The patient was successfully managed with veno-arterial peripheral extracorporeal membrane oxygenation for 6 days, with complete recovery of cardiac function and of the hepatic graft. Coronary syndrome and acute myocarditis were excluded as the causes of the shock. The use of extracorporeal membrane oxygenation in this scenario is possible and safe, considering its specialized protocols and treatment.
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Biondi et al. (2018) conducted a case report in Cardiogenic shock secondary to stress-induced cardiomyopathy (Takotsubo-like syndrome) after liver transplantation (n=1). Veno-arterial peripheral extracorporeal membrane oxygenation was evaluated on Recovery of cardiac function and hepatic graft. Veno-arterial peripheral extracorporeal membrane oxygenation successfully managed cardiogenic shock secondary to stress-induced cardiomyopathy after liver transplantation, with complete recovery.
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