End-stage cardiac failure in a morbidly obese patient treated by biliopancreatic diversion and cardiac transplantation

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...

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Bibliographic Details
Published inObesity surgery Vol. 12; no. 3; pp. 416 - 418
Main Authors Taylor, Thomas V, Bozkurt, B, Shayani, Payam, Lafuente, J, Noon, G
Format Journal Article
LanguageEnglish
Published United States Springer Nature B.V 01.06.2002
Subjects
Biliopancreatic Diversion
Female
Heart failure
Heart Failure - complications
Heart Failure - surgery
Heart Transplantation
Humans
Middle Aged
Obesity, Morbid - complications
Obesity, Morbid - surgery
Transplants & implants
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Summary: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.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0960-8923
1708-0428
DOI:10.1381/096089202321088282