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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Veröffentlicht in: | Obesity surgery 2002-06, Vol.12 (3), p.416-418 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | 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. |
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ISSN: | 0960-8923 1708-0428 |
DOI: | 10.1381/096089202321088282 |