Case Report
Partial Left Ventriculectomy in Association With Dilated Cardiomyopathy
Echocardiographic Follow-Up
2002 年 66 巻 1 号 p. 104-106
詳細
2002 年 66 巻 1 号 p. 104-106
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 12×4 cm 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. (Circ J 2002; 66: 104 - 106)
