PMID- 11721459
OWN - NLM
STAT- MEDLINE
DCOM- 20020201
LR  - 20041117
IS  - 0366-6999 (Print)
IS  - 0366-6999 (Linking)
VI  - 112
IP  - 11
DP  - 1999 Nov
TI  - Partial left ventriculectomy for the treatment of end-stage dilated 
      cardiomyopathy.
PG  - 1001-4
AB  - 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.
FAU - Huang, F
AU  - Huang F
AD  - Department of Cardiac Surgery, Anzhen Hospital, Capital Medical University, 
      Beijing 100029, China.
FAU - Zhang, J
AU  - Zhang J
FAU - Yang, J
AU  - Yang J
FAU - Bo, P
AU  - Bo P
FAU - You, B
AU  - You B
FAU - Cao, X
AU  - Cao X
FAU - Han, J
AU  - Han J
FAU - Huang, G
AU  - Huang G
FAU - Xu, C
AU  - Xu C
FAU - Wu, Q
AU  - Wu Q
FAU - Chen, Y
AU  - Chen Y
LA  - eng
PT  - Journal Article
PL  - China
TA  - Chin Med J (Engl)
JT  - Chinese medical journal
JID - 7513795
SB  - IM
MH  - Adult
MH  - Cardiomyopathy, Dilated/complications/*surgery
MH  - Cardiopulmonary Bypass
MH  - Female
MH  - Heart Ventricles/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve Insufficiency/complications
EDAT- 2001/11/28 10:00
MHDA- 2002/02/02 10:01
CRDT- 2001/11/28 10:00
PHST- 2001/11/28 10:00 [pubmed]
PHST- 2002/02/02 10:01 [medline]
PHST- 2001/11/28 10:00 [entrez]
PST - ppublish
SO  - Chin Med J (Engl). 1999 Nov;112(11):1001-4.