Case Report
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Nov 28, 2017; 9(33): 1253-1260
Published online Nov 28, 2017. doi: 10.4254/wjh.v9.i33.1253
Diagnostic and therapeutic challenge of heart failure after liver transplant: Case series
Manish Tandon, Sunaina Tejpal Karna, Chandra Kant Pandey, Ravindra Chaturvedi
Manish Tandon, Sunaina Tejpal Karna, Chandra Kant Pandey, Ravindra Chaturvedi, Institute of Liver and Biliary Sciences, New Delhi 110070, India
Author contributions: Tandon M conceived and wrote the manuscript and did literature search and review; Karna ST contributed to this work and did review of literature; Pandey CK and Chaturvedi R contributed equally to this work and reviewed the manuscript, provided intellectual inputs and edited the draft manuscript.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of Institute of Liver and Biliary Sciences Institutional Review Board vide letter No. F.25/5/107/ILBS/AC/2016/11252/511 dated 01/05/2017.
Informed consent statement: Not applicable.
Conflict-of-interest statement: None.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Correspondence to: Manish Tandon, Associate Professor of Anesthesiology, Institute of Liver and Biliary Sciences, D-1, Vasant kunj, New Delhi 110070, India.
Telephone: +91-987-1437478 Fax: +91-114-6300010
Received: May 4, 2017
Peer-review started: May 10, 2017
First decision: June 30, 2017
Revised: September 1, 2017
Accepted: September 15, 2017
Article in press: September 15, 2017
Published online: November 28, 2017
Core Tip

Core tip: Heart failure following liver transplant surgery occurs in absence of any obvious risk factors and is associated with high mortality. No preoperative workup including electrocardiogram, echocardiography at rest and on stress, reasonably prognosticates the risk. While cirrhotic cardiomyopathy, alcoholic cardiomyopathy, and stress induced cardiomyopathy each have been implicated, distinguishing one from another is difficult and several etiologies may possibly coexist. In this case series, 6 cases are presented and in the light of existing literature modification in the preoperative workup are suggested.