Korean J Thorac Cardiovasc Surg.  1997 Jun;30(6):613-616.

A Case Report of Left Ventricular Remodeling Surgery on End-Stage Dilated Cardiomyopathy

• Lim CY
• Kim JE
• Park KY
• Lee HJ
• Park CH
• Hyun SY
• Ahn TH
• Ha SY
• Cho HI
• Park HR

Abstract

We present a case of 58-year-old female with dilated cardiomyopathy(DCMP) in whom we performed left ventricular(LV) remodeling surgery(Batista operation) to reduce the left ventricle diameter and improve left ventricular function. The patient was admitted September 1996 with heart failure NYHA class IV. There was severe orthopnea and peripheral edema. 2-D echocardiography(Echo) showed DCMP with the ejection fraction(EF) 15%, LV end diastolic dimension(LVEDD) 80mm, mitral regurgitation(MR) grade IV, tricuspid regurgitation (TR) grade II. Preoperative cardiac output(CO) was 1.5L/min and cardiac index(CI) was 1.0 L/min/m2. We proceeded with LV remodeling surgery by resection a part of LV lateral wall between both papillary muscle, from the mitral annulus to the LV apex. Size of resected LV wall was 90 x 100 x 15 mm. At the mean time, mitral valve and tricuspid valve were repaired. Postoperative 2-D Echo showed the EF 37%, LVEDD 50 mm, trivial MR, no TR. CO was 3.5L/min and CI was 2.3 L/min/m2. Her fuctional NYHA class was I.

Keyword

Cardiomyopathy, dilated; Surgery, method

MeSH Terms

Cardiomyopathy, Dilated*
Deoxycytidine Monophosphate
Edema
Female
Heart Failure
Heart Ventricles
Humans
Middle Aged
Mitral Valve
Papillary Muscles
Tricuspid Valve
Tricuspid Valve Insufficiency
Ventricular Function, Left
Ventricular Remodeling*
Deoxycytidine Monophosphate