Take Heart: Bariatric Surgery in Obese Patients with Severe Heart Failure. Two Case Reports - 02/12/12
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Résumé |
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/m2) lost 34kg and was successfully transplanted 11 months later. A 40 year-old woman with familial dilated cardiomyopathy weighing 105kg (BMI 40kg/m2) 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.
Le texte complet de cet article est disponible en PDF.Keywords : Heart failure, Cardiac failure, Obesity, Bariatric surgery, Weight loss, Heart, Cardiac, Heart transplantation, Cardiac function, Cardiomyopathy
Plan
Vol 21 - N° 12
P. 847-849 - décembre 2012 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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