Clinical Results of Dynamic Cardiomyoplasty

Shamil D. Akhmedov, Euvgenily V. Krivoschekov, Mariana V. Pekarskaya, Alexander L. Krylov, Zhanna V. Vesnina, Vladimir I. Chernov, Alexander M. Chernyavskiy, Yuriy Y. Vechersky, Rostislav S. Karpov, Edward A. Nechaev, Vikenty V. Pekarski

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

Thirty‐five cardiomyoplasty procedures were performed in five patients with dilated and 30 patients with ischemic cardiomyopathies. Russian‐made cardiomyostimulators (CMS) were implanted in these patients. Twenty‐one patients underwent a one‐step procedure using a left thoracotomy for cardiomyoplasty, while in 14 patients, a two‐step procedure that included a mid‐line sternotomy was carried out. During the average follow‐up period of 9 ± 2.1 months, studies were carried out that showed in survivors improved clinical functional status and decreased heart failure symptoms. Evidence of revascularization of the ischemic myocardium from the latissimus dorsi muscle (LDM) wrap was obtained by angiography and radioactive scintigraphy. In five patients, the CMS had to be removed due to complications, and in all these patients, their clinical functional status deteriorated following the cessation of cardiomyostimulation.

Original languageEnglish
Pages (from-to)573-579
Number of pages7
JournalJournal of Cardiac Surgery
Volume10
Issue number5
DOIs
Publication statusPublished - Sep 1995
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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