[Partial ventriculectomy in a child--the Batista technique].
We present the case of a two and a half year old child with idiopatic dilated cardiomyopathy and end-stage congestive heart failure (NYHA III-IV) who underwent "partial ventriculectomy". The operation was performed under normothermic cardiopulmorary bypass and normothermic oxygenated blood cardioplegia and consisted of removal of a large wedge of muscle from the lateral wall of the left ventricle beginning at the apex and extending between the papillary muscles, ending proximal to the mitral annulus. Pre-operative the left ventricular ejection fraction (EF) was 13% by echocardiography and 20% by radionuclide ventriculography. Postoperative avaliation showed improvement of EF to 50% and 30%, respectively. The child was in functional class I (NYHA) on discharge from hospital (16th postoperative day).
Elias
L M
LM
Hospital Beneficência Portuguesa-São Paulo, Campina Grande do Sul.
Monteiro
R
R
Fittaroni
R
R
Zaninotto
M
M
de Souza
E C
EC
Rivero
M A
MA
Chaves
D
D
Batista
R J
RJ
de Souza
M C
MC
D006348:Cardiac Surgical Procedures / Q000379:methods*; D002311:Cardiomyopathy, Dilated / Q000601:surgery*; D002675:Child, Preschool; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D014463:Ultrasonography