End-stage cardiac failure in a morbidly obese patient treated by biliopancreatic diversion and cardiac transplantation

Obes Surg. 2002 Jun;12(3):416-8. doi: 10.1381/096089202321088282.


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.

Publication types

  • Case Reports

MeSH terms

  • Biliopancreatic Diversion*
  • Female
  • Heart Failure / complications*
  • Heart Failure / surgery*
  • Heart Transplantation*
  • Humans
  • Middle Aged
  • Obesity, Morbid / complications*
  • Obesity, Morbid / surgery*