Nakamoto Susumu, Oku Hidetaka, Fukuhara Hitoo, Otaki Masaki, Yokoyama Taturo
Department of Cardiovascular Surgery, Kinki University, School of Medicine, Osakasayama, Osaka, Japan.
Circ J. 2002 Jan;66(1):104-6. doi: 10.1253/circj.66.104.
Left ventricular function after a left ventriculectomy was assessed in a patient with idiopathic dilated cardiomyopathy (DCM) who has survived longer than any other patient in Japan after this operation. The 19-year-old male had a history of cerebral infarction because of left ventricular thrombus associated with DCM. In order to remove the thrombus and improve left ventricular function, an approximately 12x4cm piece of myocardial tissue was resected according to the methods of Batista's operation. Left ventricular diastolic dimension was temporarily reduced 1 month after surgery, but increased again. During the 45 months of follow-up, left ventricular diastolic dimension, cardiac output and New York Heart Association functional class remain unchanged from the preoperative values.
对一名患有特发性扩张型心肌病（DCM）的患者进行了左心室切除术后左心室功能评估，该患者是日本接受此手术后存活时间超过其他任何患者的。这名19岁男性有因DCM相关的左心室血栓导致脑梗死的病史。为了清除血栓并改善左心室功能，根据巴蒂斯塔手术方法切除了约12×4cm的心肌组织。术后1个月左心室舒张内径暂时缩小，但随后又增大。在45个月的随访期间，左心室舒张内径、心输出量和纽约心脏协会功能分级与术前值相比保持不变。
