Modified Batista Procedure for Idiopathic Dilated Cardiomyopathy: Report of a Case

Keisuke Morimoto,Yoshikazu Fujiwara,Hiroaki Kuroda,Kengo Nishimura,Shigeto Miyasaka,Kimiyo Ono,Futoshi Kobayashi,Suguru Shiraya

doi:10.4236/wjcs.2017.73005

Keisuke Morimoto, Yoshikazu Fujiwara + Show 6 more

Open Access

https://doi.org/10.4236/wjcs.2017.73005

Copy DOI

Abstract

The surgical indications for dilated cardiomyopathy (DCM) remain controversial, not including cardiac transplantation and mechanical circulatory support. We describe a case of idiopathic DCM that underwent successful surgical treatment using a modified left ventriculectomy, modification of the Batista procedure. The patient was a 63-year-old man who suffered from heart failure, New York Heart Association (NYHA) Class IV. Heart failure was derived from idiopathic DCM with a severely compromised left ventricular function complicated by left ventricular thrombosis. He underwent successful surgical treatment, specifically partial left ventriculectomy combined with the papillary muscle approximation, and the postoperative course was uneventful. He has been well with NYHA Class I for 3 years after the operation without heart failure.

Highlights

Batista and colleagues [1] [2] reported partial left ventriculectomy (PLV) as a surgical option for the treatment of patients with severe dilated cardiomyopathies (DCM)
We describe a case of idiopathic dilated cardiomyopathy (DCM) that underwent successful surgical treatment using a modified left ventriculectomy, modification of the Batista procedure
Heart failure was derived from idiopathic DCM with a severely compromised left ventricular function complicated by left ventricular thrombosis

Summary

Introduction

Batista and colleagues [1] [2] reported partial left ventriculectomy (PLV) as a surgical option for the treatment of patients with severe dilated cardiomyopathies (DCM). Several studies [3] [4] [5] [6] [7] showed improvements in the left ventricular (LV) function and recovery from congestive heart failure in cases of DCM after the surgical procedure. The original method, the Batista procedure, includes partial left ventriculectomy, resection of the dilated posterolateral LV wall between the anterior and posterior papillary muscles. PLV without preservation of the mitral complex may lead to the loss of LV function improvement after the procedure. We describe a patient with idiopathic DCM who was successfully treated using modified PLV combined with papillary muscle approximation (PMA)

Case Report

Discussion

Conclusion