Progress in Pediatric Cardiology
Volume 25, Issue 2 , Pages 183-189 , September 2008

Bariatric surgery for treatment of morbid obesity in an adolescent with Marfan syndrome

  • Go Miyano

      Affiliations

    • Divisions of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
    • ,
  • Thomas H. Inge

      Affiliations

    • Divisions of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
    • Comprehensive Weight Management Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
    • Department of Pediatrics, University of Cincinnati, Cincinnati, OH, USA
    • ,
  • Stephen R. Daniels

      Affiliations

    • Department of Pediatrics, University of Colorado, The Children's Hospital, Aurora CO, USA
    • ,
  • Holly M. Ippisch

      Affiliations

    • Pediatric Cardiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
    • Comprehensive Weight Management Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
    • Department of Pediatrics, University of Cincinnati, Cincinnati, OH, USA
    • Corresponding Author InformationCorresponding author. Division of Cardiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, MLC 2003, Cincinnati, OH 45229-3039, USA. Tel.: +1 513 636 4432; fax: +1 513 636 7117.

References 

  1. Ammash NM, Sundt TM, Connolly HM. Marfan syndrome-diagnosis and management. Curr Probl Cardiol. Jan 2008;33(1):7–39
  2. Ho NC, Tran JR, Bektas A. Marfan's syndrome. Lancet. Dec 3 2005;366(9501):1978–1981
  3. Judge DP, Dietz HC. Marfan's syndrome. Lancet. Dec 3 2005;366(9501):1965–1976
  4. Vetter U, Mayerhofer R, Lang D, von Bernuth G, Ranke MB, Schmaltz AA. The Marfan syndrome—analysis of growth and cardiovascular manifestation. Eur J Pediatr. Apr 1990;149(7):452–456
  5. Erkula G, Jones KB, Sponseller PD, Dietz HC, Pyeritz RE. Growth and maturation in Marfan syndrome. Am J Med Genet. Apr 22 2002;109(2):100–115
  6. Freedman DS, Mei Z, Srinivasan SR, Berenson GS, Dietz WH. Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. J Pediatr. Jan 2007;150(1):12–17e12
  7. Gordon-Larsen P, Adair LS, Nelson MC, Popkin BM. Five-year obesity incidence in the transition period between adolescence and adulthood: the National Longitudinal Study of Adolescent Health. Am J Clin Nutr. Sep 2004;80(3):569–575
  8. Xanthakos SA, Inge TH. Extreme pediatric obesity: weighing the health dangers. J Pediatr. Jan 2007;150(1):3–5
  9. Inge TH, Krebs NF, Garcia VF, et al. Bariatric surgery for severely overweight adolescents: concerns and recommendations. Pediatrics. Jul 2004;114(1):217–223
  10. Dietz HC, Cutting GR, Pyeritz RE, et al. Marfan syndrome caused by a recurrent de novo missense mutation in the fibrillin gene. Nature. Jul 25 1991;352(6333):337–339
  11. Inge TH, Garcia V, Daniels S, et al. A multidisciplinary approach to the adolescent bariatric surgical patient. J Pediatr Surg. Mar 2004;39(3):442–447discussion 446–447
  12. Kuther TL. Medical decision-making and minors: issues of consent and assent. Adolescence. Summer 2003;38(150):343–358
  13. Lacro RV, Dietz HC, Wruck LM, et al. Rationale and design of a randomized clinical trial of beta-blocker therapy (atenolol) versus angiotensin II receptor blocker therapy (losartan) in individuals with Marfan syndrome. Am Heart J. Oct 2007;154(4):624–631
  14. Higa KD, Boone KB, Ho T, Davies OG. Laparoscopic Roux-en-Y gastric bypass for morbid obesity: technique and preliminary results of our first 400 patients. Arch Surg. 2000;135(9):1029–10332000/09//
  15. Ippisch HIT, Daniels S, Wang B, et al. Reversibility of cardiac abnormalities in morbidly obese adolescents. J Am Coll Cardiol. 2008;51(14):1342–1348
  16. Gray JR, Bridges AB, West RR, et al. Life expectancy in British Marfan syndrome populations. Clin Genet. Aug 1998;54(2):124–128
  17. Dean JC. Marfan syndrome: clinical diagnosis and management. Eur J Hum Genet. Jul 2007;15(7):724–733
  18. Groenink M, de Roos A, Mulder BJ, et al. Biophysical properties of the normal-sized aorta in patients with Marfan syndrome: evaluation with MR flow mapping. Radiology. May 2001;219(2):535–540
  19. Campeau L, Lesperance J, Bilodeau L, Fortier A, Guertin MC, Knatterud GL. Effect of cholesterol lowering and cardiovascular risk factors on the progression of aortoiliac arteriosclerosis: a quantitative cineangiography study. Angiology. Mar–Apr 2005;56(2):191–199
  20. Urbina EM, Brinton TJ, Elkasabany A, Berenson GS. Brachial artery distensibility and relation to cardiovascular risk factors in healthy young adults (The Bogalusa Heart Study). Am J Cardiol. Apr 15 2002;89(8):946–951
  21. Eckel RH, Grundy SM, Zimmet PZ. The metabolic syndrome. Lancet. Apr 16 2005;365(9468):1415–1428
  22. Fernstrom JD, Courcoulas AP, Houck PR, Fernstrom MH. Long-term changes in blood pressure in extremely obese patients who have undergone bariatric surgery. Arch Surg. Mar 2006;141(3):276–283
  23. Sjostrom L, Narbro K, Sjostrom CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. Aug 23 2007;357(8):741–752
  24. Torquati A, Wright K, Melvin W, Richards W. Effect of gastric bypass operation on Framingham and actual risk of cardiovascular events in class II to III obesity. J Am Coll Surg. May 2007;204(5):776–782discussion 782–773
  25. Gott VL, Greene PS, Alejo DE, et al. Replacement of the aortic root in patients with Marfan's syndrome. N Engl J Med. Apr 29 1999;340(17):1307–1313
  26. Silverman DI, Burton KJ, Gray J, et al. Life expectancy in the Marfan syndrome. Am J Cardiol. Jan 15 1995;75(2):157–160
  27. Meijboom LJ, Timmermans J, Zwinderman AH, Engelfriet PM, Mulder BJ. Aortic root growth in men and women with the Marfan's syndrome. Am J Cardiol. Nov 15 2005;96(10):1441–1444
  28. Meijboom LJ, Westerhof BE, Nollen GJ, et al. Beta-blocking therapy in patients with the Marfan syndrome and entire aortic replacement. Eur J Cardiothorac Surg. Nov 2004;26(5):901–906
  29. Kalra M, Inge T, Garcia V, et al. Obstructive sleep apnea in extremely overweight adolescents undergoing bariatric surgery. Obes Res. Jul 2005;13(7):1175–1179
  30. Redline S, Tishler PV, Schluchter M, Aylor J, Clark K, Graham G. Risk factors for sleep-disordered breathing in children. Associations with obesity, race, and respiratory problems. Am J Respir Crit Care Med. May 1999;159(5 Pt 1):1527–1532
  31. Cistulli PA, Richards GN, Palmisano RG, Unger G, Berthon-Jones M, Sullivan CE. Influence of maxillary constriction on nasal resistance and sleep apnea severity in patients with Marfan's syndrome. Chest. Nov 1996;110(5):1184–1188
  32. Berney T, La Scala G, Vettorel D, et al. Surgical pitfalls in a patient with type IV Ehlers–Danlos syndrome and spontaneous colonic rupture. Report of a case. Dis Colon Rectum. Oct 1994;37(10):1038–1042
  33. Demirogullari B, Karabulut R, Demirtola A, et al. A novel mutation in the vascular Ehlers–Danlos syndrome: a case presenting with colonic perforations. J Pediatr Surg. Aug 2006;41(8):e27–30

☆ This work was supported in part by USPHS GCRC Grant #M01 RR 08084 from the National Center for Research Resources and in part by a grant from NIDDK (U01 DK072493-01A1).

PII: S1058-9813(08)00036-2

doi: 10.1016/j.ppedcard.2008.05.003

Progress in Pediatric Cardiology
Volume 25, Issue 2 , Pages 183-189 , September 2008

Article Tools

* Image Usage & Resolution