IJCS | Volume 32, Nº6, November / December 2019

652 Figure 1 - Transthoracic echocardiogram showing dilated chambers, severe mitral regurgitation (A) and mild tricuspid incompetence (B). Figure 2 - Cardiac MRI: long axis views at diastole (A) and systole (B), showing dilated heart chambers, wall thinning and severe ventricular systolic dysfunction. Almeida Junior et al. Fourteen years’survival after batista operation Int J Cardiovasc Sci. 2019;32(6):650-654 Case Report patients with poor responses to medical therapy may need surgical options, including HT and mechanical circulatory support. Non-transplant cardiac strategy for treatment of advanced DCM, such as the Batista procedure, has been applied to hundreds of people worldwide as an alternative or as bridge to HT. Although the procedure were drastically reduced after 2001 in most countries, it is significant that, since