Cardiac Function Recovery Following LVAD Implantation and Bariatric Surgery in a Morbidly Obese Patient

Leviner, Dror B.; Keidar, Andrei; Ben‐Gal, Tuvia; Medalion, Benjamin

doi:10.1111/jocs.12404

Cited by 20 publications

(8 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On the other hand, it is noteworthy that bariatric surgery after LVAD implantation is a safe and feasible option, 43 at times even enabling recovery from the LVAD. 44 …”

Section: In the Internal Medicine Wardmentioning

confidence: 99%

HFA of the ESC position paper on the management of LVAD‐supported patients for the non‐LVAD specialist healthcare provider Part 3: at the hospital and discharge

et al. 2021

View full text Add to dashboard Cite

The growing population of left ventricular assist device (LVAD)‐supported patients increases the probability of an LVAD‐ supported patient hospitalized in the internal or surgical wards with certain expected device related, and patient‐device interaction complication as well as with any other comorbidities requiring hospitalization. In this third part of the trilogy on the management of LVAD‐supported patients for the non‐LVAD specialist healthcare provider, definitions and structured approach to the hospitalized LVAD‐supported patient are presented including blood pressure assessment, medical therapy of the LVAD supported patient, and challenges related to anaesthesia and non‐cardiac surgical interventions. Finally, important aspects to consider when discharging an LVAD patient home and palliative and end‐of‐life approaches are described.

show abstract

“…On the other hand, it is noteworthy that bariatric surgery after LVAD implantation is a safe and feasible option, 43 at times even enabling recovery from the LVAD. 44 …”

Section: In the Internal Medicine Wardmentioning

confidence: 99%

HFA of the ESC position paper on the management of LVAD‐supported patients for the non‐LVAD specialist healthcare provider Part 3: at the hospital and discharge

et al. 2021

View full text Add to dashboard Cite

show abstract

“…By July 2010, his weight reached a nadir at 106.6 kg, BMI 29. Others have reported cases of complete cardiac functional recovery following LVAD implantation and subsequent bariatric surgery . However, in our patient, despite this significant weight loss, transesophageal echocardiography–guided attempts at LVAD weaning immediately revealed persistence of severe LV failure, and he was listed for transplantation.…”

Section: Patient Profilementioning

confidence: 59%

“…Furthermore, the subsequent reduction in BMI may lead to improvement in cardiac function in morbidly obese patients with severe advanced systolic heart failure . It has been shown that myocardial recovery is possible with LVAD support, and it has been suggested that in conjunction with bariatric surgery, these treatment options may work synergistically . We report a patient who required bariatric surgery for extreme weight gain while supported by an LVAD as a bridge to cardiac transplantation, and discuss the perioperative management of these patients.…”

mentioning

confidence: 97%

Left Ventricular Assist Device and Bariatric Surgery: A Bridge to Heart Transplant by Weight and Waiting Time Reduction

et al. 2016

View full text Add to dashboard Cite

show abstract

“…49 There are other reports on successful cases involving LVAD and bariatric surgery as bridge for heart transplantation 50,51 or improvement in ventricular function in morbidly obese patients. 52 Most references presented in this review showed good results for bariatric surgery in patients with HF. However, it is worth noting that most studies cited were on interventions primarily directed to treat obesity and not eventual cardiac dysfunction, either clinical or suggested by different assessment methods.…”

Section: Bariatric Surgery In Patients With Advanced Hfmentioning

confidence: 81%

Impact of Obesity and Bariatric Surgery in the Outcome of Patients with Heart Failure

Mourilhe-Rocha

Salvino

2019

International Journal of Cardiovascular Sciences

View full text Add to dashboard Cite

Currently, the association between obesity and heart failure (HF) is increasingly known. Patients with advanced obesity who suffer from HF without an identifiable cause can be diagnosed as having obesity-associated cardiomyopathy. Although data suggest that obesity may reduce mortality in HF, weight loss, especially in the presence of morbid obesity, reduces symptoms and improves the quality of life of those patients.Bariatric surgery is the major treatment available for sustained weight loss in morbid obesity. Observational studies have demonstrated an improvement in ventricular structure and function of morbidly obese patients with HF who underwent that procedure. Thus, despite the risks, bariatric surgery should be considered for patients with HF, because of its potential for reducing associated comorbidities and improving quality of life and functional capacity, in addition to making eligible for heart transplantation those excluded due to high body mass index.

show abstract

Cardiac Function Recovery Following LVAD Implantation and Bariatric Surgery in a Morbidly Obese Patient

Abstract: We present a morbidly obese 44-year-old female who underwent Thoratec HeartMate II left ventricular assist device implantation. The patient subsequently underwent laparoscopic sleeve gastrectomy and removal of the LVAD following improvement in her cardiac function.

Cited by 20 publications

References 14 publications

HFA of the ESC position paper on the management of LVAD‐supported patients for the non‐LVAD specialist healthcare provider Part 3: at the hospital and discharge

HFA of the ESC position paper on the management of LVAD‐supported patients for the non‐LVAD specialist healthcare provider Part 3: at the hospital and discharge

Left Ventricular Assist Device and Bariatric Surgery: A Bridge to Heart Transplant by Weight and Waiting Time Reduction

Impact of Obesity and Bariatric Surgery in the Outcome of Patients with Heart Failure

Contact Info

Product

Resources

About