Open AccessTakotsubo Cardiomyopathy: A Cardiac Syndrome Mimicking Acute Myocardial Infarction in a Liver Transplant Recipient
Author(s) -
María Margarita Anders,
Pablo Comignani,
Rocio Couce,
Nadia Prini,
Alina Zerega,
Mariano Santopinto,
Gustavo Devetach,
Emilio Quiñónez,
Nicolás Goldaracena,
Lucas McCormack,
Ricardo Mastaï
Publication year - 2011
Publication title -
cardiology research
Language(s) - English
Resource type - Journals
eISSN - 1923-2837
pISSN - 1923-2829
DOI - 10.4021/cr35e
Subject(s) - medicine , cardiology , myocardial infarction , inotrope , cardiomyopathy , heart failure , ventricle , transplantation , coronary artery disease , artery
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.