A Case Report of Left Ventricular Remodeling Surgery on End-Stage Dilated Cardiomyopathy.
- Author:
Chang Young LIM
1
;
Ju Ee KIM
;
Kook Yang PARK
;
Hyeon Jae LEE
;
Chul Hyun PARK
;
Sung Youl HYUN
;
Tae Hoon AHN
;
Seung Yeon HA
;
Hyun I CHO
;
Heum Rye PARK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Heart Center, Pundang Cha General Hospital, Korea.
- Publication Type:Case Report
- Keywords:
Cardiomyopathy, dilated;
Surgery, method
- MeSH:
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*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(6):613-616
- CountryRepublic of Korea
- Language:Korean
-
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.
