Batista procedure

Short description: Experimental heart procedure

The Batista procedure (also called a reduction left ventriculoplasty) was an experimental heart procedure that proposed the reversal of the effects of remodeling in cases of end-stage dilated cardiomyopathy refractory to conventional medical therapy. The hypothesis of the operation appears to be that reduction (resection) of marginally viable ventricular mass may result in superior geometric remodeling thus conferring better performance when faced with ventricular failure. In spite of promising initial results, the method was soon found to be of little if any benefit, and it is no longer considered a recommended treatment for the disease.

The Batista procedure was invented by Brazilian physician and cardiac surgeon Randas Batista in 1994 for use in patients with non-ischemic dilated cardiomyopathy. Many of his patients were victims of Chagas disease. Chagas disease represents a parasitic nonischemic cardiomyopathy targeting parasympathetic inflow to the heart. Chagas cardiomyopathy thus represents a unique method of study of diastolic heart failure. It may be addressed by removal of a portion of viable tissue from the left ventricle to reduce its size (partial left ventriculectomy), with or without repair or replacement of the mitral valve.[1]

Although several studies showed benefits from this surgery, studies at the Cleveland Clinic concluded that this procedure was associated with a high early and late failure rate. At 3 years only 26 percent were event-free and survival rate was only 60 percent.[2] Most hospitals in the US have abandoned this operation and it is no longer included in heart failure guidelines.[3][4]

## References

1. ↑ "Pioneers of heart surgery". NOVA Online: Cut to the heart. https://www.pbs.org/wgbh/nova/heart/pioneers.html.
2. ↑ "Partial left ventriculectomy for dilated cardiomyopathy: is this an alternative to transplantation?". J. Thorac. Cardiovasc. Surg. 121 (5): 879–93. May 2001. doi:10.1067/mtc.2001.113598. PMID 11326231.
3. ↑ "Surgical left ventricular remodeling in heart failure". Eur. J. Heart Fail. 7 (5): 704–9. August 2005. doi:10.1016/j.ejheart.2005.07.005. PMID 16087128.
4. ↑ Cardiovascular Pathology. Elsevier. 2016. pp. 271–339.

## External links

* Chapter 69: Nontransplant Surgical Options for Heart Failure by Martinus T. Spoor and Steven F. Bolling in Cardiac Surgery in the Adult]

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Surgery and other procedures involving the heart (ICD-9-CM V3 35–37+89.4+99.6, ICD-10-PCS 02)

Surgery and IC|

| Heart valves
and septa|

* Valve repair
* Valvulotomy
* Mitral valve repair
* Valvuloplasty
* aortic
* mitral
* Valve replacement
* Aortic valve repair
* Aortic valve replacement
* Ross procedure
* Percutaneous aortic valve replacement
* Mitral valve replacement
* Percutaneous pulmonary valve implantation

production of septal defect in heart
enlargement of existing septal defect

Atrial septostomy
Balloon septostomy
creation of septal defect in heart

Blalock–Hanlon procedure

shunt from heart chamber to blood vessel
atrium to pulmonary artery

Fontan procedure
left ventricle to aorta

Rastelli procedure
right ventricle to pulmonary artery

Sano shunt

compound procedures
for transposition of the great vessels

Arterial switch operation
Mustard procedure
Senning procedure
for univentricular defect

Norwood procedure
Kawashima procedure

shunt from blood vessel to blood vessel
systemic circulation to pulmonary artery shunt

Blalock–Taussig shunt
SVC to the right PA

Glenn procedure

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Cardiac vessels|

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* LeCompte maneuver

Other|

Pericardium
Pericardiocentesis
Pericardial window
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Myocardium
Cardiomyoplasty
Dor procedure
Septal myectomy
Ventricular reduction
Alcohol septal ablation

Conduction system
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Cox maze and minimaze
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* Left atrial appendage occlusion
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Diagnostic
tests and
procedures|

Electrophysiology
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Vectorcardiography
Holter monitor
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Bruce protocol
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Cardiac imaging
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TEE
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Radionuclide ventriculography
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sound
Phonocardiogram

Function tests|

* Impedance cardiography
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Pacing|

* Cardioversion
* Transcutaneous pacing

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