Case 2-2022: An Adolescent Male in Cardiac Arrest 3 Days After Liver Transplantation for End-Stage Liver Disease

A 19-year-old male with a history of Crohn's disease and end-stage liver disease underwent a liver transplant and experienced cardiac arrest 3 days postoperatively due to severe portopulmonary hypertension. Despite initial refractory CPR and severe ventricular dysfunction, management with ECMO, pulmonary vasodilators, and a paracorporeal lung-assist device led to recovery. Complications included renal failure, pulmonary hemorrhage, and vitamin C deficiency. After 29 days on ECMO, the patient was discharged with preserved hepatic function and no neurocognitive deficits, later showing normalized right ventricular function and returning to college without limitations.