Bariatric Surgery at the Time of Ventricular Assist Device Implantation for Morbidly Obese Patients Prior to Heart Transplantation

摘要

Severe obesity may preclude end-stage heart failure patients from listing and heart transplantation. We report the clinical course of a 50-year-old patient with dilated cardiomyopathy who underwent open adjustable gastric band insertion for morbid obesity at the time of left ventricular assist device implantation. The patient lost 25 kg within a 13-month period. The weight loss allowed patient listing and heart transplantation. However, this procedure was limited by regaining weight after heart transplantation.