The surgical indications for dilated cardiomyopathy (DCM) remain controversial,\nnot including cardiac transplantation and mechanical circulatory support.\nWe describe a case of idiopathic DCM that underwent successful surgical treatment\nusing a modified left ventriculectomy, modification of the Batista procedure.\nThe patient was a 63-year-old man who suffered from heart failure,\nNew York Heart Association (NYHA) Class IV. Heart failure was derived from\nidiopathic DCM with a severely compromised left ventricular function complicated\nby left ventricular thrombosis. He underwent successful surgical\ntreatment, specifically partial left ventriculectomy combined with the papillary\nmuscle approximation, and the postoperative course was uneventful. He has\nbeen well with NYHA Class I for 3 years after the operation without heart failure.
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