A CASE OF IMMEDIATE MYOCARDIAL RECOVERY OF CIRRHOTIC CARDIOMYOPATHY FOLLOWING REPERFUSION IN LIVER TRANSPLANTATION (original) (raw)

Cirrhotic cardiomyopathy currently is believed to be a multifactorial entity. This communication describes a case of immediate intraoperative recovery of diastolic function following liver transplantation. This suggests that an underlying metabolic inhibition of myocardial metabolism is an important factor in the development of cardiomyopathy in end-stage liver disease. Liver Abbreviations: A wave, peak mitral velocity of the late filling wave; ABP, arterial blood pressure; AR wave, peak velocity of pulmonary vein atrial flow reversal; CO, cardiac output; CVP, central venous pressure; D wave, pulmonary vein diastolic peak forward flow velocity; E wave, peak mitral flow velocity of the early filling wave; EЈ, lateral mitral annulus velocity of the early filling wave; EF, ejection fraction; HR, heart rate; LA, left atrium; MR, mitral regurgitation; PaCO 2 , partial pressure of carbon dioxide in arterial blood; PAP, pulmonary artery pressure; RA, right atrium; S wave, pulmonary vein systolic peak forward flow velocity; SpO 2 , saturation of peripheral oxygen; TEE, transesophageal echocardiography; TR, tricuspid regurgitation. Address reprint requests to