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Radical new surgery slices living tissue out of heart.(Originated from Knight-Ridder Newspapers)

Knight Ridder/Tribune News Service

| August 01, 1996 | FitzGerald, Susan | COPYRIGHT 1999 Knight-Ridder/Tribune News Service. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

PHILADELPHIA _ A radical but unproven new operation for heart failure, devised by a surgeon at a rural hospital in Brazil, has caught the attention of surgeons in Philadelphia and around the country who are eagerly beginning to test the technique on their patients.

The operation, which involves cutting out a chunk of living heart muscle, was once considered so absurd that it didn't even merit discussion at medical conferences.

``It sounded too good to be true,'' said Patrick McCarthy, a cardiac surgeon at the Cleveland Clinic, ``in that here was this so-called miraculous operation being done in the jungle to cure people with end-stage heart failure so that they won't need transplants anymore.''

But McCarthy became a believer after spending time with Randas J.V. Batista, the Brazilian doctor who invented the procedure, and some of his patients at Hospital Angelina Caron, near Curitiba in southern Brazil.

The idea is to take a heart that is enlarged and sluggish due to end-stage congestive heart failure and remodel it into a smaller, tauter heart that can more vigorously pump blood to the body.

Usually, new medical developments are evaluated by way of research articles in scientific journals, but not in this case.

Most of what is known about…

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