PMID- 9833234
OWN - NLM
STAT- MEDLINE
DCOM- 19990111
LR  - 20141120
IS  - 0914-5087 (Print)
IS  - 0914-5087 (Linking)
VI  - 32
IP  - 4
DP  - 1998 Oct
TI  - Two-year experience of the Batista operation for non-ischemic cardiomyopathy.
PG  - 269-76
AB  - The Batista operation was performed in 30 patients (25 men and 5 women, mean age 
      47 years) to treat cardiac failure due to non-ischemic cardiomyopathy, mostly 
      idiopathic dilated cardiomyopathy, from December 1996 to June 1998. Preoperative 
      New York Heart Association (NYHA) class was IV in 21 patients including 17 
      receiving inotropic support, and class III in 9 patients. Seven patients required 
      emergency surgery because of on-going shock and 23 patients were operated 
      electively. Combined cardiac procedures were; mitral valve reconstruction in 26 
      patients (19 replacements, 7 repairs), tricuspid annuloplasty in 15, aortic valve 
      replacement in 3 and one each of maze and coronary artery bypass grafting. All 
      patients successfully weaned from cardiopulmonary bypass. Intraaortic balloon 
      pump was used in 6 patients but no left ventricular assist device was used. Two 
      of 23 patients (8.7%) who underwent elective operation died during 
      hospitalization and 3 patients (13.0%) died in the late period. Six of 7 patients 
      (85.7%) with emergency operation died in the hospital and only one survived. 
      Sixteen of 19 survivors returned to NYHA class I-II, and 3 were in class III. 
      Mean ejection fraction increased from 18 +/- 6% to 31 +/- 5%. Diastolic dimension 
      decreased from 79 +/- 8 to 60 +/- 8 mm. End-diastolic and systolic volume indices 
      decreased from 203 +/- 43 to 103 +/- 25 ml/m2 and from 164 +/- 39 to 70 +/- 25 
      ml/m2, respectively, at the second postoperative week. Six patients had 
      ventriculography at one year after the operation, and no redilation was noted. 
      Increased thickness of left ventricular wall was observed postoperatively. The 
      Batista operation can be performed with relatively low risk and clinical 
      improvement was obvious in elective operation, wheras risk is very high in 
      emergency cases. Therefore, proper guidelines for patient selection and choice of 
      procedure are critically important to achieve a successful outcome in the Batista 
      operation.
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 - Sato, T
AU  - Sato T
FAU - Kikuchi, N
AU  - Kikuchi N
FAU - Iwahashi, K
AU  - Iwahashi K
FAU - Hosokawa, J
AU  - Hosokawa J
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - J Cardiol
JT  - Journal of cardiology
JID - 8804703
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Cardiomyopathy, Dilated/mortality/*surgery
MH  - Cardiopulmonary Bypass
MH  - Coronary Artery Bypass
MH  - Elective Surgical Procedures
MH  - Emergencies
MH  - Female
MH  - Heart Failure/surgery
MH  - Heart Valve Prosthesis Implantation
MH  - Heart Ventricles/surgery
MH  - Humans
MH  - Intra-Aortic Balloon Pumping
MH  - Male
MH  - Methods
MH  - Middle Aged
MH  - Mitral Valve/surgery
MH  - Treatment Outcome
EDAT- 1998/12/02 00:00
MHDA- 1998/12/02 00:01
CRDT- 1998/12/02 00:00
PHST- 1998/12/02 00:00 [pubmed]
PHST- 1998/12/02 00:01 [medline]
PHST- 1998/12/02 00:00 [entrez]
PST - ppublish
SO  - J Cardiol. 1998 Oct;32(4):269-76.