Partial left ventriculectomy in a 3-year-old boy with dilated cardiomyopathy.
A 3-year-old boy suffered severe heart failure 2 months after ventricular septal defect repair. The cardiothoracic ratio was 67% and the ejection fraction 13%. Echocardiography showed a dilated left ventricle and thin myocardium. After thorough study, we made a diagnosis of dilated cardiomyopathy. Because conventional therapy was unsuccessful, we conducted partial left ventriculectomy with Alfieri repair of the mitral valve. The postoperative cardiothoracic ratio was 57% at 1 year of follow-up and the ejection fraction 40%. The New York Heart Association functional class improved from IV to I. In conclusion, the role of partial left ventriculectomy is both as a bridge to transplantation and as a definitive repair in dilated cardiomyopathy during childhood.
Osawa
H
H
Department of Surgery, Yamanashi Medical University, Japan.
Yoshii
S
S
Hosaka
S
S
Suzuki
S
S
Kaga
S
S
Tada
Y
Y
D002311:Cardiomyopathy, Dilated / Q000601:surgery*; D002675:Child, Preschool; D006345:Heart Septal Defects, Ventricular / Q000601:surgery; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications