Korean Circ J.  2013 Dec;43(12):839-841. 10.4070/kcj.2013.43.12.839.

Ventricular Fibrillation in a Patient with Tachycardia-Induced Cardiomyopathy after Liver Transplantation

• Lee SY
• Kim J
• Lee SH
• Choi JH
• Park YH
• Kim JH
• Chun KJ

• KMID: 2224780
• DOI: http://doi.org/10.4070/kcj.2013.43.12.839

Abstract

We report a case of atrial fibrillation-related tachycardia induced cardiomyopathy and ventricular fibrillation after liver transplantation in a 41-year-old man with end-stage liver failure. Atrial fibrillation and congestive heart failure occurred postoperatively. Cardiac arrests due to ventricular fibrillation occurred 6 months after the operation with subsequent implantations of an implantable cardioverter-defibrillator. Ventricular arrhythmias did not recur during the 18 months after normalization of heart functions with guideline-directed medical treatments.

Keyword

Atrial fibrillation; Ventricular fibrillation; Liver transplantation; Heart failure

MeSH Terms

Adult
Arrhythmias, Cardiac
Atrial Fibrillation
Cardiomyopathies*
Defibrillators, Implantable
Heart
Heart Arrest
Heart Failure
Humans
Liver Failure
Liver Transplantation*
Liver*
Tachycardia
Ventricular Fibrillation*

Figure

• 

  Fig. 1 Serial M-mode echocardiograms of the left ventricle of the patient, taken at the first postoperative day (A) shows atrial fibrillation (heart rate 94 beat per minute), 9 weeks after orthotopic liver transplantation (B) shows atrial fibrillation (heart rate 109 beat per minute), 6 months after liver transplantation (C) with sinus rhythm (heart rate 89 beat per minute), and 8 months (D) after implantation of an implantable cardioverter-defibrillator with sinus rhythm (heart rate 63 beat per minute). LVEDD: left ventricular end-diastolic dimension, LVESD: left ventricular end-systolic dimension, LVEF: left ventricular ejection fraction.

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