Bariatric Surgery in Patients with Severe Heart Failure

Purpose Obesity and cardiac failure are globally endemic and increasingly intersecting. Bariatric surgery may improve cardiac function and act as a bridge-to-transplantation. We aim to identify effects of bariatric surgery on severe heart failure patients and ascertain its role regarding cardiac tra...

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Bibliographic Details
Published in:Obesity surgery 2020-08, Vol.30 (8), p.2863-2869
Main Authors: Yang, Tze Wei Wilson, Johari, Yazmin, Burton, Paul R, Earnest, Arul, Shaw, Kalai, Hare, James L, Brown, Wendy A
Format: Article
Language:English
Subjects:
Adult
Bariatric Surgery
Body Mass Index
Cardiac arrhythmia
Cardiac function
Ejection fraction
Female
Gastrectomy
Gastrointestinal surgery
Heart failure
Heart Failure - complications
Heart Failure - surgery
Heart transplants
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity, Morbid - surgery
Original Contributions
Retrospective Studies
Stroke Volume
Surgery
Treatment Outcome
Ventricular Function, Left
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Summary:Purpose Obesity and cardiac failure are globally endemic and increasingly intersecting. Bariatric surgery may improve cardiac function and act as a bridge-to-transplantation. We aim to identify effects of bariatric surgery on severe heart failure patients and ascertain its role regarding cardiac transplantation. Materials and Methods A retrospective study of a prospectively collected database identified heart failure patients who underwent bariatric surgery between 1 January 2008 and 31 December 2017. Patients were followed up 12 months post-operatively. Cardiac investigations, functional capacity, cardiac transplant candidacy, morbidity and length of stay were recorded. Results Twenty-one patients (15 males, 6 females), mean age 48.7 ± 10, BMI 46.2 kg/m 2 (37.7–85.3) underwent surgery (gastric band (18), sleeve gastrectomy (2), biliopancreatic diversion (1)). There were no loss to follow-up. There was significant weight loss of 26.0 kg (5.0–78.5, p  
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-020-04612-2