title: Takotsubo Cardiomyopathy: A Cardiac Syndrome Mimicking Acute Myocardial Infarction in a Liver Transplant Recipient.
abstract: 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.
authors.affiliation: Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina.
authors.forename: Maria M
authors.initials: MM
authors.lastname: Anders
authors.affiliation: Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina.
authors.forename: Pablo D
authors.initials: PD
authors.lastname: Comignani
authors.affiliation: Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina.
authors.forename: Rocio
authors.initials: R
authors.lastname: Couce
authors.affiliation: Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina.
authors.forename: Nadia
authors.initials: N
authors.lastname: Prini
authors.affiliation: Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina.
authors.forename: Alina R
authors.initials: AR
authors.lastname: Zerega
authors.affiliation: Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina.
authors.forename: Mariano
authors.initials: M
authors.lastname: Santopinto
authors.affiliation: Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Devetach
authors.affiliation: Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina.
authors.forename: Emilio G
authors.initials: EG
authors.lastname: Quinonez
authors.affiliation: Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Goldaracena
authors.affiliation: Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina.
authors.forename: Lucas
authors.initials: L
authors.lastname: McCormack
authors.affiliation: Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina.
authors.forename: Ricardo C
authors.initials: RC
authors.lastname: Mastai
keywords: Heart failure; Intra-aortic balloon pumping; Left ventricular apical ballooning; Liver transplantation; Myocardial infarction; Takotsubo cardiomyopathy