Clinical results of dynamic cardiomyoplasty
| Autor: | 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 |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Cardiomyopathy Dilated medicine.medical_specialty Sternum Adolescent medicine.medical_treatment Cardiomyopathy Cardiac Output Low Myocardial Ischemia Neovascularization Physiologic Revascularization Scintigraphy Coronary Angiography Internal medicine Coronary Circulation medicine Humans Thoracotomy Cardiomyoplasty Child medicine.diagnostic_test business.industry Latissimus dorsi muscle Gated Blood-Pool Imaging Equipment Design Middle Aged medicine.disease Coronary Vessels Surgery Electrodes Implanted Survival Rate Treatment Outcome Heart failure Angiography Cardiology Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Journal of cardiac surgery. 10(5) |
| ISSN: | 0886-0440 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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