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

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 followup 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.