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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.

Type Journal
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
Published Date 2012-12-01
Published Volume 21
Published Issue 12
Published Pages 847-9
Status Published in-print
URL link to publisher's version
OpenAccess link to author's accepted manuscript version