Laparoscopic Sleeve Gastrectomy in Patients with Obesity and Ventricular Assist Devices: a Comprehensive Outcome Analysis

Obes Surg. 2021 Feb;31(2):884-890. doi: 10.1007/s11695-020-04948-9. Epub 2020 Aug 25.


We analyzed in detail the outcomes of eight patients with ventricular assist devices (VADs) and obesity who underwent laparoscopic sleeve gastrectomy (LSG) at a single heart transplant (HT) center. This comprehensive analysis included body mass index (BMI) trends from VAD implantation to the time of LSG; BMI and percentage of excess BMI lost during follow-up; adverse outcomes; and changes in echocardiographic parameters, fasting lipids, unplanned hospitalizations, and functional status. We also identified the patients who achieved the following outcomes: listing for HT, HT, 50% excess BMI loss, and BMI < 35 kg/m2. Laparoscopic sleeve gastrectomy seems to be a reasonable and effective intervention to help patients with VADs and obesity to decrease excess BMI and become candidates for HT.

Keywords: Bariatric surgery; End-stage heart failure; Heart failure; Heart-assist devices; Laparoscopic sleeve gastrectomy; Sleeve gastrectomy; Ventricular assist devices.

MeSH terms

  • Body Mass Index
  • Gastrectomy
  • Humans
  • Laparoscopy*
  • Obesity / surgery
  • Obesity, Morbid* / surgery
  • Retrospective Studies
  • Treatment Outcome
  • Weight Loss