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Overweight and obesity (O/O) generate lipotoxicity of the cardiac fiber and increase the incidence and progression of aortic valve stenosis. The low cardiac output syndrome (LCOS) is a timing complication after to aortic valve replacement (AVR) surgery. The objective of the study was to investigate if body mass index (BMI) kg/m is a risk factor associated with LCOS and mortality in the post-operative period of AVR. A historic cohort study was designed, including patients with severe aortic stenosis (SAS), who were subjected to AVR. 152