PMID- 9513035
OWN - NLM
STAT- MEDLINE
DCOM- 19980417
LR  - 20061115
IS  - 0914-5087 (Print)
IS  - 0914-5087 (Linking)
VI  - 31
IP  - 2
DP  - 1998 Feb
TI  - [Early result of volume reduction left ventriculoplasty (Batista operation) for 
      dilated cardiomyopathy].
PG  - 83-90
AB  - The Batista operation is intended to improve cardiac function by reducing the 
      diameter of the left ventricle by excising of a sizable amount of the left 
      ventricular free wall. Candidates for this operation are patients awaiting 
      cardiac transplantation due to end-stage dilated cardiomyopathy and those 
      unsuitable for transplantation because of age, physical or economical reasons. We 
      performed this operation in 10 patients between December 1996 and October 1997. 
      The baseline indication is left ventricular diastolic dimension > or = 70 mm and 
      New York Heart Association (NYHA) class III or IV. There were eight men and two 
      women aged from 16 to 60 years (mean 46 years). All had non-ischemic 
      cardiomyopathy including seven idiopathic and one each of hypertrophic, 
      arrhythmogenic right ventricular and valvular (sarcoidosis) cardiomyopathy. Eight 
      patients were in NYHA class IV and six needed inotropic drip therapy prior to the 
      operation. Nine patients had significant mitral regurgitation and six had 
      tricuspid insufficiency concomitantly. Eight patients underwent mitral valve 
      replacement and one was treated with mitral valve plasty. Six patients also had 
      tricuspid plasty combined with partial left ventriculectomy. Eight patients 
      survived. Mean value of left ventricular end-diastolic diameter was reduced from 
      77.8 mm to 59.8 mm, left ventricular end-diastolic volume index was reduced from 
      189.3 to 99.2 ml/m2, ejection fraction was increased from 19.0% to 33.8% and NYHA 
      class improved from 3.8 to 1.8. Six months later, left ventricular dilatation was 
      not noticed in four patients examined. The Batista operation offers real hope for 
      patients with end-stage dilated cardiomyopathy, but we still have much to learn.
FAU - Suma, H
AU  - Suma H
AD  - Department of Cardiovascular Surgery, Shonan-Kamakura General Hospital, Kanagawa.
FAU - Isomura, T
AU  - Isomura T
FAU - Horii, T
AU  - Horii T
FAU - Ichihara, T
AU  - Ichihara T
FAU - Sato, T
AU  - Sato T
FAU - Fujisaki, H
AU  - Fujisaki H
FAU - Nishimi, M
AU  - Nishimi M
FAU - Ukawa, T
AU  - Ukawa T
FAU - Iwahashi, K
AU  - Iwahashi K
FAU - Saito, S
AU  - Saito S
FAU - Hosokawa, J
AU  - Hosokawa J
LA  - jpn
PT  - English Abstract
PT  - Journal Article
PL  - Netherlands
TA  - J Cardiol
JT  - Journal of cardiology
JID - 8804703
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Cardiac Surgical Procedures/methods
MH  - Cardiomyopathy, Dilated/physiopathology/*surgery
MH  - Female
MH  - Heart Ventricles/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Stroke Volume
MH  - Ventricular Function, Left
EDAT- 1998/03/26 00:00
MHDA- 1998/03/26 00:01
CRDT- 1998/03/26 00:00
PHST- 1998/03/26 00:00 [pubmed]
PHST- 1998/03/26 00:01 [medline]
PHST- 1998/03/26 00:00 [entrez]
PST - ppublish
SO  - J Cardiol. 1998 Feb;31(2):83-90.