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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description | 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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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. 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She then developed severe psychiatric depression, withheld her medications and developed a lethal acute rejection phenomenon.</description><subject>Biliopancreatic Diversion</subject><subject>Female</subject><subject>Heart failure</subject><subject>Heart Failure - complications</subject><subject>Heart Failure - surgery</subject><subject>Heart Transplantation</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Obesity, Morbid - complications</subject><subject>Obesity, Morbid - surgery</subject><subject>Transplants & implants</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNplkU9rFTEUxYMo9tn6BVxIcOFu9ObmzUyylFKrUHBj10P-3JGUecmYZArv25tHHwp2deHyO4fDOYy9E_BJSCU-gx5AaQSUKEApVPiC7cQIqoM9qpdsdwK6RsgL9qaUBwAUA-JrdiEQFGqAHXu8ib4r1fwi7kz2wTg-m7BsmXiI3PBDyjb45ciTpUJ8NTVQrLxmMpU8t0duwxLSaqI7vYLjPjxSLiE1dfR_TWs2sayLibVBKV6xV7NZCr0930t2__Xm5_W37u7H7ffrL3edkzjUzlllrTI9Gqto7snqgXA_-70mGISWs3a9HRF8D6StkwakxVHoVoYX42jlJfv45Lvm9HujUqdDKI6WFoTSVqZRqL7fy76BH_4DH9KWY8s2qdaulhLGBuET5HIqJdM8rTkcTD5OAqbTJNPzSZro_dl5swfy_yTnDeQfAAWH0g</recordid><startdate>20020601</startdate><enddate>20020601</enddate><creator>Taylor, Thomas V</creator><creator>Bozkurt, B</creator><creator>Shayani, Payam</creator><creator>Lafuente, J</creator><creator>Noon, G</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20020601</creationdate><title>End-stage cardiac failure in a morbidly obese patient treated by biliopancreatic diversion and cardiac transplantation</title><author>Taylor, Thomas V ; 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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.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>12082900</pmid><doi>10.1381/096089202321088282</doi><tpages>3</tpages></addata></record> |
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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 |
title | End-stage cardiac failure in a morbidly obese patient treated by biliopancreatic diversion and cardiac transplantation |
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