Complicações da aorta pós-cirurgia bariátrica

Abstract

Obesity and its correlated comorbities are nowadays considered a public health concern. In the last few years a myriad of strategies searched an effective procedure to reduce weight and decreases related comorbities. Among these strategies, the bariatric procedures have been achieved a significantly increase, being able to promote an expressive and lasting weight reduction. Diverse early and late complications are described and related to restrictive and malabsortive bariatric procedures. In this report we describe two cases of cardiovascular complications (aortic dissection and aneurysm) in the late postoperative period of the bariatric procedures.Descriptors: Aorta/surgery. Bariatric surgery/ adverse effects. Aortic aneurysm/etiology. Aneurysm, dissecting. ResumoA obesidade e as comorbidades desencadeadas ou agravadas pela mesma têm se tornado um problema de saúde pública. Diversas terapêuticas buscaram métodos capazes de reduzir de modo efetivo a massa dos indivíduos obesos e, conseqüentemente, atenuar as complicações a ela relacionadas. Dentre essas abordagens, nos últimos anos, os procedimentos bariátricos têm crescido de forma significativa, sendo capazes de promover reduções de massa expressivas e duradouras. Diversas complicações precoces e tardias são descritas e relacionadas aos procedimentos bariátricos restritivos e malabsortivos. Neste relato, descrevemos dois casos de complicações cardiovasculares (dissecção e aneurisma) no pós-operatório tardio de procedimentos bariátricos.Descritores: Aorta/cirurgia. Cirurgia bariátrica/efeitos adversos. Aneurisma aórtico/etiologia. Aneurisma dissecante.

Aortic rupture during reoperative bariatric surgery

“…Aortic complications secondary to bariatric surgery have been rarely cited. Gaia cited a case of ruptured aortic aneurism and an aortic dissection in patients that underwent a bariatric procedure [ 8 ] ; however they were not caused by the intervention per se or its complications, being most likely associated with the comorbidities of morbid obesity (atherosclerosis, aortic calcifications, and so on). This is the first reported case, to our knowledge, of an intraoperative aortic lesion secondary to a repositioning procedure for a gastric band.…”