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Take heart: bariatric surgery in obese patients with severe heart failure. Two case reports

Abstract

Bariatric surgery may be an effective treatment for obese heart failure patients, enabling access to cardiac transplantation and/or improvement of symptoms. We report the outcomes of two morbidly obese patients with end-stage heart failure, where obesity precluded cardiac transplantation and underwent laparoscopic gastric banding. A 42 year-old male with idiopathic dilated cardiomyopathy weighing 124.4kg (BMI 42kg/m(2)) lost 34kg and was successfully transplanted 11 months later. A 40 year-old woman with familial dilated cardiomyopathy weighing 105kg (BMI 40kg/m(2)) lost 14kg with sufficient symptomatic resolution to no longer require cardiac transplantation. In selected patients with severe heart failure and concomitant morbid obesity, bariatric surgery may be a reasonable treatment option.

Type Journal
ISBN 1444-2892 (Electronic) 1443-9506 (Linking)
Authors Samaras, K.; Connolly, S. M.; Lord, R. V.; Macdonald, P.; Hayward, C. S.;
Garvan Authors Prof Katherine Samaras
Publisher Name HEART LUNG CIRC
Published Date 2012-12-01 00:00:00
Published Volume 21
Published Issue 12
Published Pages 847-9
URL http://www.ncbi.nlm.nih.gov/pubmed/22743291
Status Published In-print
OpenAccess Link https://publications.gimr.garvan.org.au/download.php?11695_12163/12_Samaras_HLC_.pdf