title: [Partial ventriculectomy in a child--the Batista technique].
abstract: 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).
authors.affiliation: Hospital Beneficência Portuguesa-São Paulo, Campina Grande do Sul.
authors.forename: L M
authors.initials: LM
authors.lastname: Elias
authors.forename: R
authors.initials: R
authors.lastname: Monteiro
authors.forename: R
authors.initials: R
authors.lastname: Fittaroni
authors.forename: M
authors.initials: M
authors.lastname: Zaninotto
authors.forename: E C
authors.initials: EC
authors.lastname: de Souza
authors.forename: M A
authors.initials: MA
authors.lastname: Rivero
authors.forename: D
authors.initials: D
authors.lastname: Chaves
authors.forename: R J
authors.initials: RJ
authors.lastname: Batista
authors.forename: M C
authors.initials: MC
authors.lastname: de Souza
mesh_terms: 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