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Batista operation with aortic valve replacement for valvular cardiomyopathy
Hideyuki Harada1, Yukiko Honma, Yoshikazu Hachiro
1Department of Thoracic and Cardiovascular Surgery, Hoshigaura Hospital, Hoshigaura-odori, Kushiro, Japan.
Summary
A complex cardiac surgery, the Batista operation, successfully treated severe aortic stenosis, ascending aortic aneurysm, and tricuspid regurgitation. This procedure involved aortic valve replacement and ascending aorta graft replacement.
Area of Science:
- Cardiovascular Surgery
- Cardiac Valve Disease
- Aortic Aneurysm
Background:
- Valvular cardiomyopathy presents significant challenges in cardiac surgery.
- Severe aortic stenosis, ascending aortic aneurysm, and tricuspid regurgitation require complex interventions.
- The Batista operation is a potential solution for multi-valve and aortic pathologies.
Observation:
- A patient presented with a combination of severe aortic stenosis, ascending aortic aneurysm, and grade 3 tricuspid regurgitation.
- Surgical intervention was deemed necessary due to the severity and complexity of the cardiac conditions.
- The patient's condition indicated a need for comprehensive valve and aortic repair.
Findings:
- A successful Batista operation was performed, including aortic valve replacement (AVR).
- Graft replacement of the ascending aorta was completed concurrently.
- Tricuspid annuloplasty was successfully performed to address tricuspid regurgitation.
Implications:
- This case demonstrates the feasibility and success of the Batista operation in managing complex valvular cardiomyopathy.
- Simultaneous repair of aortic stenosis, aortic aneurysm, and tricuspid regurgitation is achievable with this surgical approach.
- The findings support the Batista operation as a viable option for patients with combined aortic and tricuspid valve disease and aortic pathology.