TECHNICAL NOTES  CARDIAC PAPERS 

The Journal of Cardiovascular Surgery 1998 December;39(6):829-32

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

Technical considerations for partial left ventriculectomy (Batista operation)

Blanche C., Frota Filho J. D.*, Trento A., Lucchese F.*

From the Department of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California, U.S.A. and *Hospital Sao Francisco do Complexo Hospitalar da Santa Casa, Porto Alegre, Rio Grande do Sul, Brasil

The sur­gi­cal tech­nique for par­tial ­left ven­tric­u­lec­to­my (Batista oper­a­tion) as per­formed in two sur­gi­cal cen­ters is ­described. This sur­gi­cal remod­el­ing of the ­left ven­tri­cle ­restores the abnor­mal geo­met­ric con­fig­u­ra­tion pro­duced by the dilat­ed fail­ing ­heart. It accom­plish­es a reduc­tion of the ­left ven­tric­u­lar end-dia­stol­ic diam­e­ter and end-dia­stol­ic vol­ume ­with con­se­quent ­increase in ­left ven­tric­u­lar func­tion. This pro­ce­dure rep­re­sents the new­est sur­gi­cal ­approach in the man­age­ment of ­patients ­with end-­stage car­di­om­yo­pa­thy; it can be ­used as a ­bridge to trans­plan­ta­tion or per­haps as a defin­i­tive ­form of ther­a­py, par­tic­u­lar­ly in ­those ­patients in ­whom ­heart trans­plan­ta­tion is con­tra­in­di­cat­ed. This ­report ­describes tech­ni­cal guide­lines to ­avoid seri­ous intra­op­er­a­tive and post­op­er­a­tive com­pli­ca­tions direct­ly asso­ciat­ed ­with ­this tech­nique.