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

Abstract

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.

• Authors: Rodrigo Santos Biondi, Vitor Salvatore Barzilai, André Luis Conde Watanabe, Gustavo de Sousa Arantes Ferreira, Fernando Antibas Atik
• Journal: Revista Brasileira de terapia intensiva (Rev Bras Ter Intensiva) 2018 Apr-Jun Vol. 30 Issue 2 Pg. 233-236 ISSN: 1982-4335 [Electronic] Brazil
• Vernacular Title: Uso de oxigenação por membrana extracorpórea para tratamento de miocardiopatia aguda após transplante hepático: relato de caso.
• PMID: 29995090 (Publication Type: Case Reports)

Topics

• Extracorporeal Membrane Oxygenation (methods)
• Female
• Humans
• Liver Transplantation (methods)
• Middle Aged
• Postoperative Complications (physiopathology, therapy)
• Shock, Cardiogenic (etiology, therapy)
• Takotsubo Cardiomyopathy (etiology, therapy)
• Treatment Outcome