PMID: 9441156Jan 24, 1998Paper

Dynamic cardiomyoplasty

Herz
R LangeS Hagl

Abstract

Between 1965 and 1995 the incidence of heart failure has been constantly rising and the mortality from this disease has increased fivefold. The introduction of ACE-inhibitors and of adrenergic beta-blockers have resulted in major symptomatic improvements in patients with mild to moderate heart failure. For end-stage disease, heart transplantation offers by now the only therapeutic option and yields excellent results. The permanent implantation of left heart assist-devices is just gaining increasing importance. Yet, both methods also have inherent drawbacks and may not be available to all patients, so that new methods are constantly evaluated. Cardiomyoplasty was introduced into clinical practice in 1985 by Alain Carpentier and since then more than 700 patients have been operated worldwide. After dissection of the latissimus dorsi muscle it is wrapped around the heart in a clockwise fashion (Figure 1). Two sensing electrodes are placed on the anterior aspect of the right ventricle and two stimulation electrodes between the proximal branches of the thoracodorsal nerve (Medtronic SP 5548). The electrodes are then connected with a burststimulator (Cardiomyostimulator, Medtronic 4710) (Figure 2). During the first 2 weeks following t...Continue Reading

References

Dec 1, 1992·The Annals of Thoracic Surgery·A P FurnaryG J Magovern
Jan 1, 1992·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·J C ChachquesA Carpentier
Jun 1, 1989·Journal of Cardiac Surgery·L F MoreiraA D Jatene
Apr 1, 1989·The Annals of Thoracic Surgery·J C ChachquesA Carpentier
Feb 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·L F MoreiraA D Jatene
Oct 1, 1994·Circulation·R M el Oakley, J C Jarvis
Aug 1, 1994·Circulation·W H Kaesemeyer
Oct 1, 1993·The Annals of Thoracic Surgery·E R CapouyaH Laks
Jul 1, 1993·The Annals of Thoracic Surgery·P W ChoM A Acker
Sep 1, 1993·The Annals of Thoracic Surgery·K K GealowS J Shumway
Oct 1, 1995·The Thoracic and Cardiovascular Surgeon·R LangeS Hagl
Dec 1, 1995·The Annals of Thoracic Surgery·F Y ChenT A McMahon
Mar 1, 1997·The Annals of Thoracic Surgery

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