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Case Reports
. 2022 Apr 1;68(4):e66-e68.
doi: 10.1097/MAT.0000000000001453.

Stress-Induced (Takotsubo) Cardiomyopathy After Liver Transplant Rescued with Venoarterial Extracorporeal Membrane Oxygenation

Giorgio Caturegli  1 , Matthew A Crane  1 , Eric Etchill  1 , Kate Giuliano  1 , Michelle Nguyen  2 , Benjamin Philosophe  2 , Sung-Min Cho  3 , Ilan S Wittstein  4 , Glenn J R Whitman  1
Affiliations
Case Reports

Stress-Induced (Takotsubo) Cardiomyopathy After Liver Transplant Rescued with Venoarterial Extracorporeal Membrane Oxygenation

Giorgio Caturegli et al. ASAIO J. .

Abstract

Here, we report the case of a 55 year old male patient without significant preexisting cardiovascular disease who received a deceased donor liver transplant. Intraoperatively, the patient developed cardiogenic shock secondary to stress-induced cardiomyopathy or Takotsubo syndrome (TTS), which was refractory to high-dose vasoactive, inotropic medical therapy. The patient was successfully managed with venoarterial extracorporeal membrane oxygenation (VA-ECMO) for 7 days, with complete recovery of cardiac function and maintenance of the hepatic graft. Given the anticipated need for only a short period of support and the expectation of full myocardial recovery, such patients may represent excellent candidates for the use of VA-ECMO.

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Conflict of interest statement

Disclosures: The authors have no conflicts of interest to report.

References

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