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Reverse Takotsubo cardiomyopathy after orthotopic liver transplantation. A case report Cover

Reverse Takotsubo cardiomyopathy after orthotopic liver transplantation. A case report

Open Access
|May 2022

Figures & Tables

Fig. 1

Preoperatively ECG showing flattened T waves in DIII, low voltage waves in limb leads

Fig. 2

Postoperatively ECG tracing revealing ST-T abnormality in V2-V5 leads.

Fig. 3

TEE imaging showing hypokinesia of the LV base. No RV motion anomalies were identified.

Fig. 4

Angiography showing no coronary occlusion

Fig. 5

Postcontrast thoracic CT-scan revealing bilateral pleural effusions. No signs for central thromboembolism or pneumothorax were documented.

Postoperative hemodynamic parameters_

Postoperative hours+4+12+20+24+28+32+36+40+44+48
CVP (mmHg)14161521221918181818
CI (l/min/m2)2.72.62.41.41.321.341.521.51.551.66
SVRI (dynes·sec/cm5/m2)1790180019002700350536703400316032502950
ELWI (ml/kg)9.38.57.911.513.31214121110.3
SVV (%)14101112121313131212
Norepi (mcg/kg/min)0.1--0.31.822.082.082.22.42.4
Dobutamine (mcg/kg/min)---2.55.38.3310.710.710.710.7
BP (mmHg)112/87108/83109/79103/73101/7183/5392/52103/61107/6699/61

Intraoperative hemodynamic parameters_ CVP- central venous pressure, CI-cardiac index, SVRI- systemic vascular resistance index, ELWI-extra lung water index, SVV- stroke volume variation, Norepi- norepinephrine, BP- blood pressure_

Time since induction (min)03060 *90120150**180210240270300330360
CVP (mmHg)14139881615141514131314
CI (l/min/m2)2.92.82.52.52.42.62.72.82.72.72.72.62.6
SVRI (dynes·sec/cm5/m2)1954190118701656140211031302152016601596158417671989
ELWI (ml/kg)8.99.210.110.1111110.910.610.710.610.810.210.3
SVV (%)12131312101818141415141312
Norepi (mcg/kg/min)0.040.120.140.360.61.270.820.680.30.330.330.250.15
BP (mmHg)105/65100/60100/6390/6090/60115/70110/70115/70120/70110/70105/60110/65115/70
DOI: https://doi.org/10.2478/jccm-2022-0002 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
Language: English
Page range: 117 - 122
Submitted on: Dec 20, 2021
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Accepted on: Mar 19, 2022
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Published on: May 12, 2022
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2022 Lucian Mihalcea, Isac Sebastian, Mihail Simion-Cotorogea, Artsiom Klimko, Gabriela Droc, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution 4.0 License.