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Related Experiment Video

Updated: May 4, 2026

Induction of Right Ventricular Failure by Pulmonary Artery Constriction and Evaluation of Right Ventricular Function in Mice
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Left ventricular volume reduction.

Raimondo Ascione1, Peter Wilde, Gianni D Angelini

  • 1Bristol Heart Institute, University of Bristol, Bristol Royal Infirmary, Bristol BS2 8HW, UK.

Multimedia Manual of Cardiothoracic Surgery : MMCTS
|January 14, 2014
PubMed
Summary

The Batista

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Mechanics
  • Heart Failure Management

Background:

  • Dilated left ventricle (LV) leads to increased wall tension and reduced ejection fraction.
  • La Place's law explains how reducing LV diameter can improve cardiac function.
  • The Batista 'left volume ventricular reduction' operation aims to address these issues.

Purpose of the Study:

  • To review the Batista operation for dilated left ventricles.
  • To discuss the underlying principles and potential complications.
  • To present surgical modifications and techniques.

Main Methods:

  • The study reviews the surgical technique of left ventricular volume reduction.
  • It discusses the application of La Place's law in cardiac surgery.

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  • Modifications including cardioplegic arrest and mitral valve repair are described.

    • Main Results:

    • The Batista operation aims to decrease left ventricular wall tension by reducing LV diameter.
    • This reduction is expected to increase ejection fraction.
    • Potential concerns include diastolic function, patient selection, and late re-dilatation.

    Conclusions:

    • The Batista operation offers a method to improve ejection fraction in dilated left ventricles.
    • Further evaluation is needed regarding diastolic function and long-term outcomes.
    • Surgical modifications can enhance hemostasis and procedural success.