Suma H, Isomura T, Horii T, Sato T, Kikuchi N, Hosokawa G
Department of Cardiovascular Surgery, Shonan Kamakura General Hospital, Kanagawa.
J Cardiol. 1999 May;33(5):273-7.
A 38-year-old man underwent the Batista operation to treat end-stage dilated cardiomyopathy. There was no associated mitral regurgitation, so only partial left ventriculectomy was performed. The patient recovered successfully. His New York Heart Association (NYHA) class improved from IV to I, ejection fraction increased from 8% to 37% and left ventricular diastolic dimension decreased from 89 to 68 mm. Cardiac output and stroke volume increased from 3.8 to 6.7 l/min and from 52 to 85 ml/min, respectively. This case shows the isolated positive effect of partial left ventriculectomy without mitral valve reconstruction.
一名38岁男性接受了Batista手术以治疗终末期扩张型心肌病。该患者不存在相关二尖瓣反流,因此仅进行了部分左心室切除术。患者成功康复。其纽约心脏病协会(NYHA)心功能分级从IV级改善至I级,射血分数从8%增至37%,左心室舒张内径从89毫米降至68毫米。心输出量和每搏输出量分别从3.8升/分钟增至6.7升/分钟,从52毫升/分钟增至85毫升/分钟。该病例显示了未进行二尖瓣重建的部分左心室切除术所产生的单独积极效果。