Department of Cardiology, Pusan National University Yangsan Hospital, Yangsan, Korea.
Korean Circ J. 2013 Dec;43(12):839-41. doi: 10.4070/kcj.2013.43.12.839. Epub 2013 Dec 20.
We report a case of atrial fibrillation-related tachycardia induced cardiomyopathy and ventricular fibrillation after liver transplantation in a 41-year-old man with end-stage liver failure. Atrial fibrillation and congestive heart failure occurred postoperatively. Cardiac arrests due to ventricular fibrillation occurred 6 months after the operation with subsequent implantations of an implantable cardioverter-defibrillator. Ventricular arrhythmias did not recur during the 18 months after normalization of heart functions with guideline-directed medical treatments.
我们报告了一例 41 岁终末期肝功能衰竭男性患者在肝移植后发生与房颤相关的心动过速性心肌病和室颤。术后出现房颤和充血性心力衰竭。术后 6 个月因室颤发生心脏骤停,随后植入埋藏式心脏复律除颤器。在心功能正常后 18 个月,通过指南指导的药物治疗,未再出现室性心律失常。