PMID- 2133843
OWN - NLM
STAT- MEDLINE
DCOM- 19920409
LR  - 20190918
IS  - 0886-0440 (Print)
IS  - 0886-0440 (Linking)
VI  - 5
IP  - 3
DP  - 1990 Sep
TI  - Clinical experience with dynamic cardiomyoplasty.
PG  - 193-8
AB  - Dynamic cardiomyoplasty using the latissimus dorsi muscle graft (LDMG) was 
      applied to 11 patients with dilated cardiomyopathy of different etiologies. Our 
      first case was operated on July 1987. All patients were in Functional Class (FC) 
      IV New York Heart Association (NYHA) and had multiple previous admissions in 
      intensive care units for intractable cardiac insufficiency. Two patients died 
      during the procedure, the perioperative mortality was 18%. One patient died of 
      recurrent acute myocarditis at the fourth postoperative month and a second 
      patient died in the sixteenth postoperative month. Both patients were 
      asymptomatic, in FC I-II, and the cause of death was sudden arrhythmia 
      (ventricular fibrillation). The remaining seven patients (63.6%) were in FC I-II 
      and the longest follow-up was 30 months. In all patients, the ejection fraction 
      (EF) by radioisotopic ventriculography improved an average of 50% as well as 
      their ergometric test. Dynamic cardiomyoplasty appears to be a satisfactory 
      alternative for the treatment of patients with severe cardiac insufficiency 
      secondary to dilated cardiomyopathy. Its main advantage seems to be a significant 
      improvement in the quality of life for these patients.
FAU - Almada, H
AU  - Almada H
AD  - Department of Cardiovascular Surgery, ECAVI, Hospital Frances, Buenos Aires, 
      Argentina.
FAU - Molteni, L
AU  - Molteni L
FAU - Ferreira, R
AU  - Ferreira R
FAU - Ortega, D
AU  - Ortega D
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Card Surg
JT  - Journal of cardiac surgery
JID - 8908809
SB  - IM
MH  - Adult
MH  - Aged
MH  - Cardiac Pacing, Artificial/*methods
MH  - Cardiomyopathy, Dilated/physiopathology/*surgery
MH  - Echocardiography
MH  - Electrocardiography
MH  - Female
MH  - Heart Ventricles/surgery
MH  - Humans
MH  - Intraoperative Complications
MH  - Male
MH  - Middle Aged
MH  - Muscles/*transplantation
MH  - Pacemaker, Artificial
MH  - Postoperative Complications
MH  - Survival Rate
MH  - Ventricular Function/physiology
EDAT- 1990/09/01 00:00
MHDA- 1990/09/01 00:01
CRDT- 1990/09/01 00:00
PHST- 1990/09/01 00:00 [pubmed]
PHST- 1990/09/01 00:01 [medline]
PHST- 1990/09/01 00:00 [entrez]
AID - 10.1111/j.1540-8191.1990.tb01038.x [doi]
PST - ppublish
SO  - J Card Surg. 1990 Sep;5(3):193-8. doi: 10.1111/j.1540-8191.1990.tb01038.x.