title: End-stage cardiac failure in a morbidly obese patient treated by biliopancreatic diversion and cardiac transplantation.
abstract: A 57-year-old 132-kg female (BMI 48.6) with end-stage cardiac failure is presented. Because of a progressive cardiomyopathy, the patient required a heart transplant. However, before receiving the transplant, major weight loss was deemed to be mandatory. Supervised dieting had manifestly failed, and thus a highly effective weight-reducing operation, biliopancreatic diversion, was performed. This resulted in a weight loss of 50.4 kg in 9 months. She then underwent successful cardiac transplantation, and progressed well for several months. She then developed severe psychiatric depression, withheld her medications and developed a lethal acute rejection phenomenon.
authors.affiliation: Baylor College of Medicine, Houston, TX, USA. thomas_taylor@stjoe.sch.org
authors.forename: Thomas V
authors.initials: TV
authors.lastname: Taylor
authors.forename: B
authors.initials: B
authors.lastname: Bozkurt
authors.forename: Payam
authors.initials: P
authors.lastname: Shayani
authors.forename: J
authors.initials: J
authors.lastname: Lafuente
authors.forename: G
authors.initials: G
authors.lastname: Noon
mesh_terms: D015904:Biliopancreatic Diversion; D005260:Female; D006333:Heart Failure / Q000150:complications* / Q000601:surgery*; D016027:Heart Transplantation; D006801:Humans; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications* / Q000601:surgery*