Use of extracorporeal membrane oxygenation for treating acute cardiomyopathy after liver transplantation: a case report

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Biondi, Rodrigo Santos, Barzilai, Vitor Salvatore, Watanabe, André Luis Conde, Ferreira, Gustavo de Sousa Arantes, Atik, Fernando Antibas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação de Medicina Intensiva Brasileira - AMIB 2018
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6031418/
https://www.ncbi.nlm.nih.gov/pubmed/29995090
http://dx.doi.org/10.5935/0103-507X.20180029
Descripción
Sumario: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.

Ejemplares similares