Takotsubo Cardiomyopathy: A Cardiac Syndrome Mimicking Acute Myocardial Infarction in a Liver Transplant Recipient.

Autor: Anders MM; Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina., Comignani PD; Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina., Couce R; Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina., Prini N; Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina., Zerega AR; Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina., Santopinto M; Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina., Devetach G; Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina., Quinonez EG; Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina., Goldaracena N; Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina., McCormack L; Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina., Mastai RC; Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina.
Jazyk: angličtina
Zdroj: Cardiology research [Cardiol Res] 2011 Apr; Vol. 2 (2), pp. 82-85. Date of Electronic Publication: 2011 Mar 25.
DOI: 10.4021/cr35e
Abstrakt: 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.
Databáze: MEDLINE