Partial left ventriculectomy the Batista procedure
Partial left ventriculectomy the Batista procedure
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DOI：
10.1093/ejcts/15.supplement_1.s12
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发表时间：
1999-01-01
影响因子：
3.4
通讯作者：
Balista, R
中科院分区：
文献类型：
--
作者：
Balista, R
心脏移植是治疗心力衰竭的一个很好的选择，但是器官捐献者并不多；即使在世界上最发达的国家，也只有1%的需要心脏移植的人能接受手术。巴西的情况更糟。所以我想谈谈我为99%无法接受心脏移植的病人开发的一种手术，即部分左心室切除术（PLV）。它的概念不是在心脏上做手术，而是在它的直径上做手术。如果你把心脏看作是一块不好的肌肉，那么切除一块来让它变得更好是没有任何意义的，因为心脏需要更多的肌肉。为什么病人会好转呢？它和直径有关。一亿年来，大自然一直在塑造我们的心脏，这是非常丰富的经验使我们的心脏发展到今天的样子。蛇的心非常小，如果把它放在人的心和水牛的心旁边，马上就能认出是蛇的心（图1）。但是，如果把蛇心的电脑图像放大到水牛心的大小，你就不能再确定哪个是哪个了。两颗心脏的质量与直径之比是一样的。事实上，从蛇到水牛再到鲸鱼，所有心脏的质量与直径之比都是一样的。自然界的一切，从草莓到橙子再到心脏，无论大小，都有相同的比例。
Heart transplantation is a good option for heart failure, but there are not many organ donors; even in the most developed countries of the world, only 1% of those who need heart transplantation will receive it. The situation is even worse in Brazil. So I would like to discuss a procedure I developed for the 99% of patients who do not have access to heart transplantation, which is the partial left ventriculectomy (PLV). Its concept is that rather than operating on the heart, I am operating on its diameter. If you look at the heart as a bad muscle, it does not make any sense to excise a piece of it in order to make it better because the heart needs more muscle. Why then does the patient improve? It has to do with the diameter.Nature has been shaping the heart for 100 million years, which is a great deal of experience bringing it to where it is today. The snake heart is very tiny, and if it is placed beside a human heart and a buffalo heart, it is immediately recognized as a snake heart (Fig. 1). But if a computer image of the snake heart is enlarged to the size of the buffalo heart, you can no longer determine which is which. The ratio of mass to diameter is the same in both hearts. In fact, all hearts have the same ratio of mass to diameter, from the snake to the buffalo to the whale. Everything in nature, from strawberries to oranges to hearts, has the same ratio, regardless of its size.