An Alternative New Method in Surgical Treatment of Heart Failure: Partial Left Ventriculectomy (Batista operation):

This report is on one of the first clinical applications of partial left ventriculectomy operation in Turkey. The procedure was deseribed by R. Batista as an alternative new method in surgical treatment of heart failure. The 54-year-old male patient with idiopathic dilated cardiomyopathy, was in NYHA class IV. Preoperatively, left ventricular end-diastolic volume was 530 mL and end-diastolic diameter was 10.5 cm on echocardiographic evaluation. The left ventricular ejection fraction estimated by MUGA was 11%. At operation, left ventricular lateral wall and mitral leaflets were resected in the beating heart with cardiopulmonary bypass. Mitral valve was replaced with a prosthetic valve and the left ventricle was repaired primarily with suture. We have observed an İmportant improvement in clinical and hemodynamic findings after one week. He was discharged from hospital at the postoperative 8th day and is presently surviving in the postoperative second month.