title: Take heart: bariatric surgery in obese patients with severe heart failure. Two case reports.
abstract: 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 124.4 kg (BMI 42 kg/m(2)) lost 34 kg and was successfully transplanted 11 months later. A 40 year-old woman with familial dilated cardiomyopathy weighing 105 kg (BMI 40 kg/m(2)) lost 14 kg 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.
authors: Diabetes Program, Garvan Institute of Medical Research, Australia. k.samaras@garvan.org.au
authors: K
authors: K
authors: Samaras
authors: S M
authors: SM
authors: Connolly
authors: R V
authors: RV
authors: Lord
authors: P
authors: P
authors: Macdonald
authors: C S
authors: CS
authors: Hayward
mesh_terms: D000328:Adult; D005260:Female; D015391:Gastroplasty; D006333:Heart Failure / Q000150:complications / Q000601:surgery*; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*