Takotsubo cardiomyopathy post liver transplantation.
A patient with end-stage liver disease developed stress-induced Takotsubo cardiomyopathy post liver transplantation, with haemodynamic instability requiring a left ventricular assist device. We discuss the diagnosis and management of this condition.
Division of Cardiology, Department of Internal Medicine, University of Witwatersrand and Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa; Wits Donald Gordon Medical Centre, University of Witwatersrand, Parktown, Johannesburg, South Africa.
Ahmed
A
Vachiat
Division of Cardiology, Department of Internal Medicine, University of Witwatersrand and Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa; Wits Donald Gordon Medical Centre, University of Witwatersrand, Parktown, Johannesburg, South Africa.
Keir
K
McCutcheon
Division of Cardiology, Department of Internal Medicine, University of Witwatersrand and Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa; Wits Donald Gordon Medical Centre, University of Witwatersrand, Parktown, Johannesburg, South Africa. Email: Ahmed.Vachiat@wits.ac.za.
Adam
A
Mahomed
Wits Donald Gordon Medical Centre, University of Witwatersrand, Parktown, Johannesburg, South Africa.
Gunter
G
Schleicher
Wits Donald Gordon Medical Centre, University of Witwatersrand, Parktown, Johannesburg, South Africa.
Liezl
L
Brand
Wits Donald Gordon Medical Centre, University of Witwatersrand, Parktown, Johannesburg, South Africa.
Jean
J
Botha
Milpark Hospital, Parktown, Johannesburg, South Africa.
Martin
M
Sussman
Division of Cardiology, Department of Internal Medicine, University of Witwatersrand and Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa; Wits Donald Gordon Medical Centre, University of Witwatersrand, Parktown, Johannesburg, South Africa.
Pravin
P
Manga
D004452:Echocardiography; D058625:End Stage Liver Disease / Q000175:diagnosis / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D013318:Stroke Volume; D054549:Takotsubo Cardiomyopathy / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D013997:Time Factors; D016896:Treatment Outcome; D016277:Ventricular Function, Left