{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T12:40:08Z","timestamp":1770986408344,"version":"3.50.1"},"reference-count":16,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T00:00:00Z","timestamp":1723593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: The diet and physical activity of the world\u2019s population determine the increase in the number of bariatric surgeries. The most common types of bariatric surgery are laparoscopic sleeve gastrectomy (LSG) and Roux-Y gastric bypass (RYGB). Surgical interventions are carried out in patients with numerous comorbidities, among which the most common are cardiovascular diseases. The aim of the present study was to review the literature regarding the safety and results of surgical treatment in patients with cardiac revascularization prior to surgery. Methods: We performed an online search in Pubmed in September 2023 to identify articles that reported cardiac revascularization prior to bariatric surgery. The extracted information included details of the working method, number of patients, types of cardiovascular disease\u2014heart failure (HF) and cardiac artery disease (CAD), types of revascularization\u2014coronary artery bypass graft (CABG), percutaneous coronary intervention (PCI) or both CABG + PCI, demographic data (age, gender, race), clinical characteristics (body mass index\u2014BMI, smoking status), comorbidities (diabetes mellitus, hypertension, prior myocardial infarction), postoperative complications, and postoperative results. Results: A total of 171 records were identified by the initial search, and 165 papers were excluded after applying the exclusion criteria (types of cardiovascular disease, types of revascularization, and demographic data). We evaluated a group of 9479 patients of which 730 had HF, 2621 CAD, and 1426 underwent prior cardiac revascularization. The analysis of the demographic data showed an average age of 55.5 years and a fluctuation of the male gender between 39% and 71.1%, and the female gender between 28.9% and 61%. The main types of bariatric interventions were RYGB (3659 cases) and LSG (659 cases), to which adjustable gastric band (AGB) and bilio-pancreatic diversion\u2014duodenal switch (BPD-DS) were added. Among the most postprocedural complications were ST-segment elevation myocardial infarction (2 patients), gastro-intestinal bleeding (51 cases), pulmonary embolism (1 patient), arrhythmia (3 patients) and pacemaker insertion (1 patient). The recorded postoperative mortality rate was 0.42% (6 cases). Conclusions: Bariatric surgery remains safe in patients with cardiac revascularization. These finding need to be confirmed in more large-scale randomized trials.<\/jats:p>","DOI":"10.3390\/jcm13164779","type":"journal-article","created":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T06:23:05Z","timestamp":1723616585000},"page":"4779","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Bariatric Surgery in Patients with Previous Cardiac Revascularization: Review of Literature"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9565-1604","authenticated-orcid":false,"given":"Dan","family":"Bandea","sequence":"first","affiliation":[{"name":"Onesti Municipal Hospital, 601048 Onesti, Romania"},{"name":"George Emil Palade University of Medicine, Pharmacy, Science and Technology of T\u00eergu Mure\u0219, 540142 T\u00eergu Mure\u0219, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9333-2765","authenticated-orcid":false,"given":"Ramon","family":"Vilallonga","sequence":"additional","affiliation":[{"name":"ELSAN, Clinique Bouchard, 13006 Marseille, France"},{"name":"Endocrine, Metabolic and Bariatric Unit, General Surgery Department, Hospital Vall d\u2019Hebron, 08035 Barcelona, Spain"},{"name":"Universitat Aut\u00f2noma de Barcelona, 08193 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anamaria","family":"Nedelcu","sequence":"additional","affiliation":[{"name":"ELSAN, Clinique Bouchard, 13006 Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2619-8356","authenticated-orcid":false,"given":"Laura Gabriela","family":"Gavril","sequence":"additional","affiliation":[{"name":"Anesthesia and Intensive Care Unit, Regiional Institute of Oncology, 700115 Iasi, Romania"},{"name":"Anesthesia and Intensive Care Unit Department, Faculty of Medicine \u201cGr. T. Popa\u201d, University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marius","family":"Nedelcu","sequence":"additional","affiliation":[{"name":"ELSAN, Clinique Bouchard, 13006 Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8043-4356","authenticated-orcid":false,"given":"Bogdan Andrei","family":"Suciu","sequence":"additional","affiliation":[{"name":"George Emil Palade University of Medicine, Pharmacy, Science and Technology of T\u00eergu Mure\u0219, 540142 T\u00eergu Mure\u0219, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2281","DOI":"10.1007\/s11695-018-3174-3","article-title":"A Population-Based Study of Early Postoperative Outcomes in Patients with Heart Failure Undergoing Bariatric Surgery","volume":"28","author":"Strong","year":"2018","journal-title":"Obes. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1016\/j.soard.2022.04.005","article-title":"Major cardiovascular events after metabolic surgery in patients with previous heart disease with or without type 2 diabetes: A nationwide cohort study","volume":"18","author":"Stenberg","year":"2022","journal-title":"Surg. Obes. Relat. Dis."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1458","DOI":"10.1161\/CIRCULATIONAHA.120.048585","article-title":"Association of Metabolic Surgery with Major Adverse Cardiovascular Outcomes in Patients With Previous Myocardial Infarction and Severe Obesity: A Nationwide Cohort Study","volume":"143","author":"Stenberg","year":"2021","journal-title":"Circulation"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1757","DOI":"10.1016\/j.soard.2020.06.034","article-title":"Is bariatric surgery safe in patients with history of cardiac revascularization?","volume":"16","author":"Okida","year":"2020","journal-title":"Surg. Obes. Relat. Dis."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1272","DOI":"10.1381\/096089206778663779","article-title":"Gastric bypass for morbidly obese patients with established cardiac disease","volume":"16","author":"Alsabrook","year":"2006","journal-title":"Obes. 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Dis."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/16\/4779\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:36:27Z","timestamp":1760110587000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/16\/4779"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,14]]},"references-count":16,"journal-issue":{"issue":"16","published-online":{"date-parts":[[2024,8]]}},"alternative-id":["jcm13164779"],"URL":"https:\/\/doi.org\/10.3390\/jcm13164779","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,14]]}}}