End-stage cardiac failure in a morbidly obese patient treated by biliopancreatic diversion and cardiac transplantation
| Autor: | Thomas V. Taylor, Payam Shayani, J Lafuente, Biykem Bozkurt, G Noon |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
medicine.medical_specialty
Endocrinology Diabetes and Metabolism medicine.medical_treatment Cardiomyopathy Weight loss Medicine Humans Stage (cooking) Biliopancreatic Diversion Depression (differential diagnoses) Heart transplantation Heart Failure Nutrition and Dietetics business.industry Middle Aged medicine.disease Surgery Obesity Morbid Transplantation Heart Transplantation Female medicine.symptom business Dieting |
| Zdroj: | Obesity surgery. 12(3) |
| ISSN: | 0960-8923 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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