The surgical indications for
dilated cardiomyopathy (DCM) remain controversial, not including cardiac transplantation
and mechanical circulatory support. We describe a case of idiopathic DCM that
underwent successful surgical treatment using a modified left
ventriculectomy, modification of the Batista procedure. The patient was a
63-year-old man who suffered from heart failure, New York Heart Association (NYHA) Class IV. Heart failure was derived
from idiopathic DCM with a severely compromised left ventricular
function complicated by left ventricular thrombosis. He underwent successful
surgical treatment, specifically partial left ventriculectomy combined with the
papillary muscle approximation, and the postoperative course was uneventful. He
has been well with NYHA Class I for 3 years
after the operation without heart failure.
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