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Batista Procedure with the Aid of Intraoperative Epicardial Echocardiography.
Nakamura, Ken; Uchida, Tetsuro; Hamasaki, Azumi; Sadahiro, Mitsuaki.
Afiliação
  • Nakamura K; Nihonkai General Hospital Department of Cardiovascular Surgery Yamagata Sakata Japan Department of Cardiovascular Surgery, Nihonkai General Hospital, Yamagata, Sakata, Japan.
  • Uchida T; Yamagata University Faculty of Medicine Department of Surgery II Yamagata Japan Department of Surgery II, Yamagata University Faculty of Medicine, Yamagata, Japan.
  • Hamasaki A; Yamagata University Faculty of Medicine Department of Surgery II Yamagata Japan Department of Surgery II, Yamagata University Faculty of Medicine, Yamagata, Japan.
  • Sadahiro M; Yamagata University Faculty of Medicine Department of Surgery II Yamagata Japan Department of Surgery II, Yamagata University Faculty of Medicine, Yamagata, Japan.
Braz J Cardiovasc Surg ; 35(2): 225-228, 2020 04 01.
Article em En | MEDLINE | ID: mdl-32369304
INTRODUCTION: The number of cases for which the Batista procedure is indicated is small, but some patients with appropriate indication can achieve good therapeutic results. OBJECTIVE: To avoid incorrect left ventricular incision and obtain good surgical results in patients with dilated cardiomyopathy suitable for partial left ventriculectomy, we employed intraoperative direct echocardiography to determine the exact extent and position of the myocardial incision, even for surgeons who are not very experienced with the Batista procedure. METHODS: A 72-year-old man with dilated cardiomyopathy underwent the Batista procedure with the aid of epicardial echocardiography to confirm the location of both the papillary muscles and the diseased myocardium. RESULTS: We were able to accurately perform left ventricular incision and remove the diseased lateral ventricular wall. Two years later, the patient had no symptoms of heart failure, and his brain natriuretic peptide (BNP) level decreased from 1155 to 49.3 pg/mL. CONCLUSIONS: We believe that the use of intraoperative echocardiography may have the potential to make the Batista procedure less technically demanding and more reproducible for surgeons with little experience in the procedure.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ecocardiografia Limite: Aged / Humans / Male Idioma: En Revista: Braz J Cardiovasc Surg Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Japão País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ecocardiografia Limite: Aged / Humans / Male Idioma: En Revista: Braz J Cardiovasc Surg Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Japão País de publicação: Brasil