Editorial
The Batista procedure
| The first 150 words of the full text of this article appear below. |
Until
recently refractory congestive heart failure under optimal medical
treatment could only be treated surgically by heart transplantation.
Many factors, such as a lack of donors, an operative mortality rate of
10-20%, and side effects associated with immunosuppression, have
prompted heart surgeons to find alternative treatments. Moreover the
number of heart failure patients is steadily growing. Although medical
treatment has changed the course of the disease, it has only helped to
slow the process of deterioration. Patients referred for surgery show a
longer evolution than in the past and are probably more sick. Since the
early '90s many surgical options have appeared and, like medical
treatment, should allow a tailored surgical approach. Ischaemic
cardiomyopathies can benefit from myocardial revascularisation even in
patients without angina and an ejection fraction below
20%.1 2 Such patients could already have some kind of
ventricular reduction with use of the Dor procedure in dyskinetic and
akinetic
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This article has been cited by other articles:
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Lunkenheimer, P. P., Redmann, K., Anderson, R. H.
(2005). The architecture of the ventricular mass and its functional implications for organ-preserving surgery. Eur. J. Cardiothorac. Surg.
27: 183-190
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