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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.[1]

References

  1. Take heart: bariatric surgery in obese patients with severe heart failure. Two case reports. Samaras, K., Connolly, S.M., Lord, R.V., Macdonald, P., Hayward, C.S. Heart. Lung. Circ (2012) [Pubmed]
 
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