Document Detail

Partial left ventriculectomy for the treatment of end-stage dilated cardiomyopathy.
MedLine Citation:
PMID:  11721459     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To report our initial experience of the first 5 cases of partial left ventriculectomy (PLV or Batista operation), a new surgical therapy for treatment of end-stage dilated cardiomyopathy in China. METHODS: From April to August 1998, 5 patients with idiopathic dilated cardiomyopathy received PLV at Anzhen Hospital. The mean age of the patients was 48.4 years (range: 42 to 53 years). Three patients were in New York Heart Association (NYHA) class III and 2 in class IV. All patients had mitral valve insufficiency (3 moderate and 2 severe) and 1 had severe tricuspid valve insufficiency in addition preoperatively. Cardiopulmonary bypass and cardiac arrest with cold blood cardioplegia were used in all patients. The average weight of the resected left ventricle muscle was 46.3 g. All patients underwent mitral annuloplasty and 1 plus tricuspid annuloplasty (De Vega). RESULTS: Echocardiography demonstrated a significant decrease in left ventricular diastolic diameter (8.4 +/- 1.1 cm to 5.4 +/- 0.4 cm, P < 0.01) and an increase in ejection fraction (17.78% +/- 6.26% to 34.82% +/- 3.18%, P < 0.025). One patient died of heart failure on the 6th postoperative day. The mean follow-up period of the 4 discharged patients were 4 months (from 3 to 6 months). One were in NYHA class I and 3 in class II; all had a normal life. CONCLUSION: Batista operation is a new and valuable alternative of the surgical treatment for end-stage dilated cardiomyopathy and the long-term results need further studies.
F Huang; J Zhang; J Yang; P Bo; B You; X Cao; J Han; G Huang; C Xu; Q Wu; Y Chen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chinese medical journal     Volume:  112     ISSN:  0366-6999     ISO Abbreviation:  Chin. Med. J.     Publication Date:  1999 Nov 
Date Detail:
Created Date:  2001-11-27     Completed Date:  2002-02-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7513795     Medline TA:  Chin Med J (Engl)     Country:  China    
Other Details:
Languages:  eng     Pagination:  1001-4     Citation Subset:  IM    
Department of Cardiac Surgery, Anzhen Hospital, Capital Medical University, Beijing 100029, China.
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MeSH Terms
Cardiomyopathy, Dilated / complications,  surgery*
Cardiopulmonary Bypass
Heart Ventricles / surgery*
Middle Aged
Mitral Valve Insufficiency / complications

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