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@article{1830785,
author = {Bedanova, Helena and Ondrasek, Jiri and Filipenský, Petr and Nemec, Petr and Dobšák, Petr},
article_location = {Melville},
article_number = {April 2021},
doi = {http://dx.doi.org/10.12659/AJCR.930484},
keywords = {Female; Liver Diseases Alcoholic; Stress Psychological; Takotsubo Cardiomyopathy},
language = {eng},
issn = {1941-5923},
journal = {American Journal of Case Reports},
title = {Inverted Takotsubo Cardiomyopathy as an Early Complication After Liver Transplantation},
url = {https://www.amjcaserep.com/abstract/index/idArt/930484},
volume = {22},
year = {2021}
}
TY - JOUR
ID - 1830785
AU - Bedanova, Helena - Ondrasek, Jiri - Filipenský, Petr - Nemec, Petr - Dobšák, Petr
PY - 2021
TI - Inverted Takotsubo Cardiomyopathy as an Early Complication After Liver Transplantation
JF - American Journal of Case Reports
VL - 22
IS - April 2021
SP - "e930484-1"-"e930484-4"
EP - "e930484-1"-"e930484-4"
PB - INT SCIENTIFIC INFORMATION, INC
SN - 19415923
KW - Female
KW - Liver Diseases Alcoholic
KW - Stress Psychological
KW - Takotsubo Cardiomyopathy
UR - https://www.amjcaserep.com/abstract/index/idArt/930484
N2 - Objective: Rare disease Background: Takotsubo cardiomyopathy (TTC) is a cardiac syndrome characterized by transient left ventricle (LV) dysfunction, typically showing apical ballooning due to apical akinesis with preserved basal segment contractility. The inverted form is very uncommon and is characterized by basal segment hypokinesis or akinesis and normal LV apical segment contractility. Case Report: We describe the case of a 49-year-old woman who developed inverted TTC after orthotopic liver transplantation. On day 1 (D1), dyspnea and oliguria suddenly appeared. A chest X-ray showed pulmonary edema, and echocardiography showed severe systolic LV dysfunction with an estimated ejection fraction of approximately 25% and akinesis of basal and midventricular LV segments, normal apical segment contractility, and mild mitral regurgitation. Elevated troponin T, creatine kinase-MB, and N-terminal pro B-type natriuretic peptide were found in the blood sample. Suspected inverted takotsubo cardiomyopathy was confirmed by left ventriculography, with normal apical part motion, akinesis in the other LV parts, and negative coronary angiography. The echocardiographic findings returned to normal on D14, and the patient was discharged from the hospital on D19 with normal LV motion and an ejection fraction of 65%. The transplanted liver function was excellent. Conclusions: Organ transplantation is connected with a great emotional stress because the patient's life depends on the death of another person. Therefore, we have to think about the possibility of stress cardiomyopathy even after liver transplantation, because early diagnosis and treatment can be life-saving for the patient. To our knowledge, this is the first described case of inverted takotsubo cardiomyopathy after liver transplantation.
ER -
BEDANOVA, Helena, Jiri ONDRASEK, Petr FILIPENSKÝ, Petr NEMEC and Petr DOBŠÁK. Inverted Takotsubo Cardiomyopathy as an Early Complication After Liver Transplantation. \textit{American Journal of Case Reports}. Melville: INT SCIENTIFIC INFORMATION, INC, 2021, vol.~22, April 2021, p.~''e930484-1''-''e930484-4'', 4 pp. ISSN~1941-5923. Available from: https://dx.doi.org/10.12659/AJCR.930484.
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