Take Heart: Bariatric Surgery in Obese Patients with Severe Heart Failure. Two Case Reports - 02/12/12
, S.M. Connolly a, R.V. Lord, MD, FRACS c, P. Macdonald, MD, PhD, FRACP d, C.S. Hayward, MD, FRACP, FCSANZ d
Corresponding author at: Diabetes Program, 384 Victoria St, Darlinghurst, NSW 2010, Australia.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 numéro
Article précédent
- Recurrent Ischaemic Mitral Regurgitation Post Mitral Annuloplasty due to Suture Dehiscence Evaluated Using Real Time Three Dimensional Transoesophageal Echocardiography
- Gunjan Aggarwal, Dominik Schlosshan, Gita Mathur, Hugh Wolfenden, Greg Cranney
- Transcatheter Closure of Mitral Paravalvular Leak with an Arteriovenous Wire Loop through an Aortic Mechanical Valve Prosthesis
- Pierpaolo Confessore, Francesca Fiorilli, Massimiliano Scappaticci, Alberta Cifarelli, Francesco De Felice, Carmine Musto, Roberto Violini
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?