Batista Surgery

Batista Surgery

The Batista procedure was an experimental open-heart surgery that had been studied to reverse the effects of remodeling in cases of end-stage dilated cardiomyopathy. In this case, patients suffer from an enlarged left ventricle that cannot pump blood efficiently. It was developed by Brazilian surgeon Dr. Randas J. V. Batista, primarily as a treatment for heart failure. The Batista Operation is technically called a REDUCTION LEFT VENTRICULOPLASTY. It is an open-heart operation performed with the aid of a heart lung machine to maintain circulation while the heart is stopped. The essence of the procedure is to remove a wedge of left ventricle muscle (weighing about 40 to as much as 250 grams) and stitch together the two edges of the ventricle. In this manner the size of the left ventricle is reduced, and the ventricle is remodelled as well

The Batista procedure is used for patients whose heart muscles have been stretched or weakened by disease, such as infection or inflammation which have led to congestive heart failure. (Weakened heart muscle that results from heart attack does not seem to respond as well.) Because of their weakened condition, these hearts can’t pump enough blood to sustain themselves and the body.

In the Batista procedure a triangular or elliptical piece of living heart tissue about the size of a golf ball is sliced from the left ventricle . Then the heart is stitched back together. By removing part of the left ventricle (the heart’s main pumping chamber), the heart’s chamber is made smaller and it can contract more effectively to pump more blood.

Batista operation method begins with a hollow heart patients. Next step is clamp the aorta, a procedure with the patient's aorta breach intentionally. At this phase, the heart patient is no longer rattle. For that, there was a procedure called a back up. Meanwhile, the heart does not rattle, the body of the patient in the back-up by an electronic tool that serves to replace the function of the heart. When the back up takes place, the doctor rip off major heart patients, incisition, then discard the contents of a small heart, and finally close again with a few stitches. This process must be done quickly but neatly and carefully. After the "disposal of meat" is complete, the connection is returned from the aorta tool back up to the heart . In a few seconds after the back up stopped, the heart will return rattle. In addition, sometimes, the mitral valve (which lies between the left ventricle and left atrium) may need to be removed and replaced with an artificial valve. In patients who have heart rhythm disturbances as well, an artificial implantable defibrillator device may be implanted. If the coronary arteries are diseased, they may be grafted too.

Though the Batista procedure seemed promising at first, it was later found to have little benefit and considerable risk. Today, the Batista procedure is not a recommended treatment for dilated cardiomyopathy. In this form of cardiomyopathy, the heart fails to respond to conventional therapy, and patients suffer from severe heart failure. However, while the surgery has generally fallen out of favor, a few research groups are still examining the Batista procedure among patients who are unsuitable for heart transplantation, such as the elderly.

refferences
http://yourtotalhealth.ivillage.com
http://heartdeseaseonline.com

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Migraine without Aura (Silent Migraine)

Migraine without aura
Head pain similar to Migraine with aura but more unknown cause. Pain can be described and predicted with the beat-throbbing on one side of the head, pain intensity are severe and accompanied by nausea, fotofobia and fonofobia. With the manifestation of chronic head pain 4-72 hours.
Migraine variants have several different, namely:
1. Asephalic Migraine, Migraine with aura types without the headache the next.
2. Basilar Migraine, Migraine with aura dysarthria, vertigo, diplopia, and accompanied by a decrease in awareness anesthetized on both sides.
3. Migrainekronis, Migraine without aura with a pain at least half a day.
4. Hemiplegic Migraine, familial and occurred in a case with the possibility of irregular aura of hemiplegia
5. Status migrainosus, Migraine attacks more than 72 hours.
6. Childhood periodic symptoms, accompanied by paroxysmal vertigo, stomach aches and vomiting are regular.
Some also experience Migraine is caused by the complications, one of which is infrak Migraine, Migraine attacks neurologiknya same but there is still a deficit after three-week examination and CT Scan showed hipodensity.

Treatment of Migraine without aura
Rare or mild occurrences of Migraine without aura may not require treatment at all. However, for many people sans-migraine is not something to be shrugged off. The symptoms can still be completely debilitating. For cases like that, there is help.

Remember that Migraine without aura is still basically migraine. It's a common misconception that migraine is simply a bad headache - it's actually a neurological disease, and headache is only one possible symptoms. There are various types of treatment that work well for migraine, Migraine without aura included.

Abortive drugs are often helpful when it comes to Migraine without aura. Sometimes something as simple as aspirin can stop the symptoms (especially effervescent aspirin - the kind that fizzes when you drop it into water). Usually you want something fast acting, such as a beta-agonist inhalent (such as isoproterenol). Also helpful are sublingual (under the tongue) nitroglycerin, meclofenamate (Meclomen, frequently used for arthritis), and naproxen sodium. For prevention, calcium channel blockers, a common migraine preventative, may also be helpful. Anti-seizure drugs are sometimes tried, such as topiramate (again, these are used for other types of migraine as well, not just Migraine without aura) Talk to your doctor about the full range of migraine medication that's available today.

reffrence
http://www.scribd.com