title: Partial left ventriculectomy for end-stage cardiomyopathy: report of a case.
abstract: Cardiac transplantation is an established treatment for end-stage heart failure, but its use is very limited. Partial left ventriculectomy has been reported as an alternative treatment for end-stage dilated cardiomyopathy. However, it has been well recognized that emergency partial left ventriculectomy for intractable decompensation is associated with poor survival. We report a case of a 68-year-old man with a left ventricular end-diastolic diameter of 108 mm, who underwent emergency extended partial left ventriculectomy, without papillary muscle resection, and mitral valve replacement with chordae preservation to deal with ongoing cardiogenic shock caused by end-stage dilated cardiomyopathy. The patient's cardiac status and general condition improved after the operation, and he survived the crisis. This operation should be considered as an alternative strategy for patients with septal motion and very large left ventricle. Thus, we report a successful extended partial left ventriculectomy and mitral valve replacement for end-stage dilated cardiomyopathy with very large left ventricular end-diastolic diameter.
authors.affiliation: Department of Cardiovascular Surgery, Nagasaki University School of Medicine, Nagasaki City, Nagasaki, Japan.
authors.forename: Seiji
authors.initials: S
authors.lastname: Matsukuma
authors.forename: Kiyoyuki
authors.initials: K
authors.lastname: Eishi
authors.forename: Tomayoshi
authors.initials: T
authors.lastname: Hayashi
authors.forename: Shiro
authors.initials: S
authors.lastname: Yamachika
authors.forename: Shiro
authors.initials: S
authors.lastname: Hazama
authors.forename: Tsuneo
authors.initials: T
authors.lastname: Ariyoshi
authors.forename: Hideaki
authors.initials: H
authors.lastname: Takai
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Odate
authors.forename: Daisuke
authors.initials: D
authors.lastname: Onohara
authors.forename: Makoto
authors.initials: M
authors.lastname: Yanatori
mesh_terms: D000368:Aged; D002311:Cardiomyopathy, Dilated / Q000150:complications* / Q000401:mortality; D004452:Echocardiography; D004630:Emergencies; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D009200:Myocardial Contraction; D010101:Oxygen Consumption; D010166:Palliative Care / Q000379:methods*; D010210:Papillary Muscles / Q000601:surgery; D018579:Patient Selection; D012720:Severity of Illness Index; D012770:Shock, Cardiogenic / Q000209:etiology; D013318:Stroke Volume; D015996:Survival Rate; D016896:Treatment Outcome