Take heart: bariatric surgery in obese patients with severe heart failure. Two case reports
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.
|ISBN||1444-2892 (Electronic) 1443-9506 (Linking)|
|Authors||Samaras, K.; Connolly, S. M.; Lord, R. V.; Macdonald, P.; Hayward, C. S.;|
|Responsible Garvan Author||Prof Katherine Samaras|
|Publisher Name||Heart Lung and Circulation|
|URL link to publisher's version||http://www.ncbi.nlm.nih.gov/pubmed/22743291|
|OpenAccess link to author's accepted manuscript version||https://publications.gimr.garvan.org.au/open-access/11695|