Anders Maria M, Comignani Pablo D, Couce Rocio, Prini Nadia, Zerega Alina R, Santopinto Mariano, Devetach Gustavo, Quinonez Emilio G, Goldaracena Nicolas, McCormack Lucas, Mastai Ricardo C
Liver Transplant Program, Hospital Aleman, Buenos Aires, Argentina.
Cardiol Res. 2011 Apr;2(2):82-85. doi: 10.4021/cr35e. Epub 2011 Mar 25.
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.
应激性心肌病（TTC）是一种罕见的临床综合征，定义为在无冠状动脉疾病的情况下出现严重但可逆的左心室功能障碍。我们描述了一名接受肝移植患者术后出现的应激性心肌病的临床特征及治疗情况。术后两天，患者出现急性心肌梗死的临床症状。超声心动图显示左心室运动减弱。冠状动脉造影显示动脉正常，无任何狭窄或阻塞。患者需要血管加压药和正性肌力药物支持。主动脉内球囊泵的置入对心力衰竭的治疗有有益作用。患者术后40天心脏功能完全恢复。应激性心肌病是肝移植后可能出现的情况。认识到这种病症至关重要，因为早期诊断和及时治疗可挽救患者生命。
