PMID- 10709826
OWN - NLM
STAT- MEDLINE
DCOM- 20000329
LR  - 20190921
IS  - 0886-0440 (Print)
IS  - 0886-0440 (Linking)
VI  - 14
IP  - 2
DP  - 1999 Mar-Apr
TI  - The Batista operation in patients with dilated cardiomyopathy.
PG  - 124-8
AB  - Between December 1996 and October 1998, 34 patients with nonischemic dilated 
      cardiomyopathy (DCM) received cardiac volume reduction surgery. The patients' 
      ages ranged from 14 to 67 years (mean = 48 years) and included 28 males and 6 
      females. Associated mitral regurgitation was present in 31 patients, tricuspid 
      regurgitation in 19 patients, and aortic regurgitation in 4 patients. We 
      performed a partial left ventriculectomy (PLV) using antegrade intermittent warm 
      blood cardioplegia in 15 patients (group A), and in 19 patients (group B) PLV was 
      performed using the on-pump beating heart technique. In group A, the mean aortic 
      clamping time was 79+/-33 minutes and the total cardiopulmonary bypass time was 
      155+/-58 minutes. In group B the mean cardiopulmonary bypass time was 121+/-43 
      minutes. There were eight hospital deaths (five in group A and three in group B). 
      Five of 10 survivors of group A required inotropic support for 13.8+/-25.3 days 
      after the operation, while 5 of 12 survivors in group B required inotropes for 
      4.2+/-3.1 days. Hospital mortality was 86% in 7 emergent cases and 7% in 27 
      elective cases. Echocardiographic study showed that the left ventricular ejection 
      fraction improved from a mean of 18.7% to 30.3% and the left ventricular diameter 
      decreased from a mean of 80.2 mm to 62.3 mm after the operation. All 26 hospital 
      survivors were followed for 1 to 20 months. Three patients died at early 
      follow-up because of congestive heart failure, thrombosed valve, and hepatic 
      failure, respectively. Nineteen patients were in New York Heart Association 
      (NYHA) Class I or II and four were in NYHA Class III. In conclusion, cardiac 
      volume reduction surgery is effective when the operative technique and proper 
      judgment of patient selection are established, and emergent operation is avoided.
FAU - Isomura, T
AU  - Isomura T
AD  - Cardiovascular Surgery, Shonan Kamakura General Hospital, Kanagawa, Japan. 
      heartctr@fb3.so-net.or.jp
FAU - Suma, H
AU  - Suma H
FAU - Horii, T
AU  - Horii T
FAU - Sato, T
AU  - Sato T
FAU - Kikuchi, N
AU  - Kikuchi N
FAU - Iwahashi, K
AU  - Iwahashi K
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Card Surg
JT  - Journal of cardiac surgery
JID - 8908809
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - *Cardiac Surgical Procedures
MH  - Cardiomyopathy, Dilated/*surgery
MH  - Female
MH  - Heart Arrest, Induced
MH  - Heart Ventricles/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Selection
EDAT- 2000/03/10 09:00
MHDA- 2000/04/01 09:00
CRDT- 2000/03/10 09:00
PHST- 2000/03/10 09:00 [pubmed]
PHST- 2000/04/01 09:00 [medline]
PHST- 2000/03/10 09:00 [entrez]
AID - 10.1111/j.1540-8191.1999.tb00963.x [doi]
PST - ppublish
SO  - J Card Surg. 1999 Mar-Apr;14(2):124-8. doi: 10.1111/j.1540-8191.1999.tb00963.x.