Temporary Mechanical Circulatory Support During Bariatric Surgery: A Novel Bridge to Durable Left Ventricular Assist Device and Cardiac Transplantation

Theo Sher; Madison Noom; Samer Ganam; Joseph Sujka; Debbie Rinde-Hoffman; Christopher DuCoin

doi:10.1177/00031348241244637

Temporary Mechanical Circulatory Support During Bariatric Surgery: A Novel Bridge to Durable Left Ventricular Assist Device and Cardiac Transplantation

Theo Sher, Madison Noom, Samer Ganam, Joseph Sujka, Debbie Rinde-Hoffman, Christopher DuCoin

University of South Florida

Research output: Contribution to journal › Article › peer-review

Abstract

Advanced heart failure (HF) with comorbid severe obesity presents a unique surgical dilemma: bariatric surgery may help patients meet cardiac transplantation body mass index (BMI) criteria, but poor cardiac function puts them at increased intraoperative risk. Per International Society for Heart and Lung Transplantation (ISHLT) guidelines BMI > 35 is a contraindication for orthotopic heart transplantation. Temporary mechanical circulatory support (MCS) with Impella 5.5 during bariatric surgery, as presented in this report, may help solve this dilemma for some patients. We present three patients with severe obesity and advanced heart failure (HF) who underwent successful bariatric surgery while supported by Impella 5.5 (Abiomed, Inc., Danvers, MA).

Original language	English
Journal	American Surgeon
Early online date	5 Apr 2024
DOIs	https://doi.org/10.1177/00031348241244637
State	E-pub ahead of print - 5 Apr 2024
Externally published	Yes

Bibliographical note

Publisher Copyright:
© The Author(s) 2024.

Keywords

Bariatric Surgery
Heart Failure
Impella
Obesity

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1177/00031348241244637

Cite this

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abstract = "Advanced heart failure (HF) with comorbid severe obesity presents a unique surgical dilemma: bariatric surgery may help patients meet cardiac transplantation body mass index (BMI) criteria, but poor cardiac function puts them at increased intraoperative risk. Per International Society for Heart and Lung Transplantation (ISHLT) guidelines BMI > 35 is a contraindication for orthotopic heart transplantation. Temporary mechanical circulatory support (MCS) with Impella 5.5 during bariatric surgery, as presented in this report, may help solve this dilemma for some patients. We present three patients with severe obesity and advanced heart failure (HF) who underwent successful bariatric surgery while supported by Impella 5.5 (Abiomed, Inc., Danvers, MA).",

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Temporary Mechanical Circulatory Support During Bariatric Surgery: A Novel Bridge to Durable Left Ventricular Assist Device and Cardiac Transplantation

Abstract

Bibliographical note

Keywords

UN SDGs

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