Rare but fatal if missed – intraoperative Takotsubo syndrome in adult liver transplantation: lessons for anaesthesia and intensive care clinicians

Authors

Keywords:

Takotsubo syndrome, liver transplant, perioperative cardiac decompensation, extracorporeal membrane oxygenation

Abstract

Takotsubo syndrome is an important and often overlooked cause of reversible non-ischaemic perioperative cardiac decompensation. We report a case of intraoperative Takotsubo syndrome in an adult liver transplant recipient that occurred approximately 45 minutes after reperfusion of the implanted liver graft. In addition to multi-organ dysfunction requiring intensive life support, the recipient required venoarterial extracorporeal membrane oxygenation. Despite a prolonged hospital stay, three-month follow-up confirmed complete recovery of cardiac function. This case highlights the need for increased awareness of this condition and the need to facilitate appropriate care and referral pathways should perioperative Takotsubo syndrome occur.

Author Biographies

T Chitagu, University of the Witwatersrand

Wits Donald Gordon Medical Centre, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, South Africa

B Bobat, University of the Witwatersrand

Wits Donald Gordon Medical Centre, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, South Africa

A Vachiat, University of the Witwatersrand

Wits Donald Gordon Medical Centre, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, South Africa

J Fabian, University of the Witwatersrand

Wits Donald Gordon Medical Centre, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, South Africa

L Brannigan, University of the Witwatersrand

Wits Donald Gordon Medical Centre, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, South Africa

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Published

2023-04-14

Issue

Vol. 29 No. 2 (2023)

Section

Case Studies

License

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