Skip to main content
SpringerLink
Log in

Laparoscopic Sleeve Gastrectomy in Patients with Left Ventricular Assist Device—Case Series and Review of Literature

  • Brief Communication
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

For patients with advanced heart failure, left ventricular assist device (LVAD) can serve as a bridge to heart transplantation. Patients with class II obesity are eligible for implantation of LVAD but do not meet criteria for cardiac transplant listing. Laparoscopic sleeve gastrectomy (LSG) is proposed as weight losing modality in order to reach the New York Heart Association (NYHA) criteria for listing. In our center, three patients on LVAD with need for weight-reducing therapy were treated with laparoscopic sleeve gastrectomy. We reviewed our data retrospectively and compared it with the literature. Successful weight loss was achieved in all patients, without postoperative adverse events. Two out of three were listed on transplant waiting list. Our results are similar to those described in other series.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

References

  1. Mehra MR, Canter CE, Hannan MM, et al. The 2016 International Society for Heart Lung Transplantation listing criteria for heart transplantation: a 10-year update. J Heart Lung Transplant. 2016;35(1):1–23.

    Article  Google Scholar 

  2. Clerkin KJ, Naka Y, Mancini DM, et al. The impact of obesity on patients bridged to transplantation with continuous-flow left ventricular assist devices. JACC Hear Fail. 2016;4(10):761–8.

    Article  Google Scholar 

  3. Flegal KM, Kruszon-Moran D, Carroll MD, et al. Trends in obesity among adults in the United States, 2005 to 2014. JAMA. 2016;315:2284–91.

    Article  CAS  Google Scholar 

  4. Lavie CJ, Milani RV, Ventura HO. Obesity and cardiovascular disease: risk factor, paradox, and impact of weight loss. J Am Coll Cardiol. 2009;53:1925–32.

    Article  Google Scholar 

  5. Horwich TB, Broderick S, Chen L, et al. Relation among body mass index, exercise training, and outcomes in chronic systolic heart failure. Am J Cardiol. 2011;108(12):1754–9.

    Article  Google Scholar 

  6. Kenchaiah S, Pocock SJ, Wang D, et al. Body mass index and prognosis in patients with chronic heart failure: insights from the Candesartan in Heart failure: Assessment of Reduction in Mortality and morbidity (CHARM) program. Circulation. 2007;116(6):627–36.

    Article  Google Scholar 

  7. Kenchaiah S, Evans JC, Levy D, et al. Obesity and the risk of heart failure. N Engl J Med. 2002;347(5):305–13.

    Article  Google Scholar 

  8. Zhai AB, Haddad H. The impact of obesity on heart failure. Curr Opin Cardiol. 2017;32:196–202.

    Article  Google Scholar 

  9. Kindel TL, Strande JL. Bariatric surgery as a treatment for heart failure: review of the literature and potential mechanisms. Surg Obes Relat Dis. 2018;14(1):117–22.

    Article  Google Scholar 

  10. Gustafsson F, Rogers JG. Left ventricular assist device therapy in advanced heart failure: patient selection and outcomes. Eur J Heart Fail. 2017;19:595–602.

    Article  Google Scholar 

  11. Emani S, Brewer RJ, John R, et al. Patients with low compared with high body mass index gain more weight after implantation of a continuous-flow left ventricular assist device. J Heart Lung Transplant. 2013;32(1):31–5.

    Article  Google Scholar 

  12. Bray GA, Frühbeck G, Ryan DH, et al. Management of obesity. Lancet. 2016;387:1947–56.

    Article  Google Scholar 

  13. Sjöström L. Review of the key results from the Swedish Obese Subjects (SOS) trial - a prospective controlled intervention study of bariatric surgery. J Intern Med. 2013;273:219–34.

    Article  Google Scholar 

  14. Mancini D, Goldsmith R, Levin H, et al. Comparison of exercise performance in patients with chronic severe heart failure versus left ventricular assist devices. Circulation. 1998;98(12):1178–83.

    Article  CAS  Google Scholar 

  15. Guerrier JB, Dietch ZC, Schirmer BD, et al. Laparoscopic sleeve gastrectomy is associated with lower 30-day morbidity versus laparoscopic gastric bypass: an analysis of the American College of Surgeons NSQIP. Obes Surg. 2018;28(11):3567–72.

    Article  Google Scholar 

  16. Khan MS, Yuzefpolskaya M, Memon MM, et al. Outcomes associated with obesity in patients undergoing left ventricular assist device implantation. ASAIO J. 2019;1 [Internet]. [cited 2019 Nov 12]. Available from: http://insights.ovid.com/crossref?an=00002480-900000000-98662

  17. Akay MH, Nathan SS, Radovancevic R, et al. Obesity is associated with driveline infection of left ventricular assist devices. ASAIO J. 2019;65(7):678–82. [Internet]. [cited 2019 Nov 12]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30398982

    Article  Google Scholar 

  18. Lee AY, Tecson KM, Lima B, et al. Durable left ventricular assist device implantation in extremely obese heart failure patients. Artif Organs. 2019;43(3):234–41. [Internet]. [cited 2019 Nov 12]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30357882

    Article  Google Scholar 

  19. Chaudhry UI, Kanji A, Sai-Sudhakar CB, et al. Laparoscopic sleeve gastrectomy in morbidly obese patients with end-stage heart failure and left ventricular assist device: medium-term results. Surg Obes Relat Dis. 2015;11(1):88–93.

    Article  Google Scholar 

  20. Leviner DB, Keidar A, Ben-Gal T, et al. Cardiac function recovery following LVAD implantation and bariatric surgery in a morbidly obese patient. J Card Surg. 2014;29(5):740–2.

    Article  Google Scholar 

  21. Shah SK, Gregoric ID, Nathan SS, et al. Simultaneous left ventricular assist device placement and laparoscopic sleeve gastrectomy as a bridge to transplant for morbidly obese patients with severe heart failure. J Heart Lung Transplant. 2015;34:1489–91. Elsevier USA

    Article  Google Scholar 

  22. Jeng EI, Aranda JM, Ahmed M, et al. Left ventricular assist device and bariatric surgery: a bridge to heart transplant by weight and waiting time reduction. J Card Surg. 2016;31(2):120–2.

    Article  Google Scholar 

  23. Punchai S, Nor Hanipah Z, Sharma G, et al. Laparoscopic sleeve gastrectomy in heart failure patients with left ventricular assist device. Obes Surg. 2019;29(4):1122–9.

    Article  Google Scholar 

  24. Hawkins RB, Go K, Raymond SL, et al. Laparoscopic sleeve gastrectomy in patients with heart failure and left ventricular assist devices as a bridge to transplant. Surg Obes Relat Dis. 2018;14(9):1269–73.

    Article  Google Scholar 

  25. Aittigrine S, Tozzi P, Hullin R, et al. Laparoscopic sleeve gastrectomy for class III obesity in a patient with a left ventricular assist device (LVAD) Heartmate III. Surg Obes Relat Dis. 2019;15(8):1420–1.

    Article  Google Scholar 

  26. Zenilman AL, Camacho DR, Choi J. Scientific session of the 16th world congress of endoscopic surgery, jointly hosted by Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) & Canadian Association of General Surgeons (CAGS), Seattle, Washington, USA, 11-14 April 2018: poster abstracts. Surg Endosc. 2018;32:130–359.

    Article  Google Scholar 

  27. Greene J, Tran T, Shope T. Sleeve gastrectomy and left ventricular assist device for heart transplant. JSLS. 2017;21(3)

Download references

Author information

Authors and Affiliations

  1. Department of Abdominal Surgery, University Hospitals Leuven, Leuven, Belgium

    Pieter Van Aelst, Ellen Deleus & Matthias Lannoo

  2. Department of Endocrinology, University Hospitals Leuven, Leuven, Belgium

    Bart Van der Schueren

  3. Department of Clinical Cardiac Surgery, University Hospitals Leuven, Leuven, Belgium

    Bart Meyns & Katrien Vandersmissen

Authors
  1. Pieter Van Aelst
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ellen Deleus
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Bart Van der Schueren
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Bart Meyns
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Katrien Vandersmissen
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Matthias Lannoo
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Pieter Van Aelst.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

This is a retrospective study. For this type of study, formal consent is not required.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Van Aelst, P., Deleus, E., Van der Schueren, B. et al. Laparoscopic Sleeve Gastrectomy in Patients with Left Ventricular Assist Device—Case Series and Review of Literature. OBES SURG 30, 3628–3633 (2020). https://doi.org/10.1007/s11695-020-04642-w

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-020-04642-w

Keywords

Search

Navigation