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Title of Journal: Eur J Cardiothorac Surg

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Abbravation: European Journal of Cardio-Thoracic Surgery

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Narnia

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DOI

10.1002/nadc.19670150118

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ISSN

1010-7940

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Dynamic cardiomyoplasty for longterm cardiac assi

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Publish Date: 1992/12/01
Volume: 6, Issue: 12, Pages: 642-647
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Abstract

The principle of cardiomyoplasty is longterm electrostimulation of alatissimus dorsi muscle LDM wrapped around the failing heartTechnically this procedure consists of placing the left LDM flap aroundthe heart via a window created by partial resection of the 2nd or 3rd riband subsequent muscle electrostimulation in synchrony with ventricularsystole The aim of cardiomyoplasty is to support ventricular function inischemic or dilated cardiomyopathies or to partially replace theventricular myocardium after large aneurysm or tumor resections Ourclinical experience at Broussais Hospital involves 44 patients Thefunctional class and quality of life improved after cardiomyoplastyImprovement of the ventricular performance and limitation of cardiacdilatation were demonstrated over the longterm The actuarial survival at6 years was 71 Risk factors influencing perioperative mortality were age 65 years associated surgical procedures pulmonary vascularhypertension and patients hemodynamically unstable or on inotropic drugsupport Preoperative risk factors influencing the longterm mortalitywere permanent NYHA functional class 4 cardiothoracic ratio 060 LVejection fraction 15 biventricular heart failure and atrialfibrillation Cardiomyoplasty does not preclude the use of futureorthotopic heart transplantation

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  1. A comparison of the performance of pig hearts perfused with pig orhuman blood using an ex-vivo working heart model
  2. The relevance of the microbiological flora of the upper alimentary tract to postoperative infection in major oesophageal surgery
  3. Is cerebral blood flow/metabolic mismatch during rewarming a risk factor after profound hypothermic procedures in small children?
  4. Improved spontaneous endothelialization by postfixation treatment of bovine pericardium
  5. Structural changes in implanted cardiac valvular bioprostheses constructed of glycerol-treated human dura mater
  6. Video-assisted repair of a ruptured right hemidiaphragm
  7. Recovery of end-organ failure during mechanical circulatory support
  8. Improved mitral valve replacement
  9. Pulmonary complications following myocardial revascularization with the internal mammary artery graft
  10. Video-assisted thoracoscopic treatment of pleural empyema. A newtherapeutic approach
  11. Up to 9 years of follow-up after anatomic correction of simple transposition of the great arteries
  12. Does the technique of cardiopulmonary bypass affect lung water content?
  13. Successful surgical management for multiple cerebral mycotic aneurysmsinvolving both carotid and vertebrobasilar systems in active infectiveendocarditis
  14. Warm body, cold heart surgery. Clinical experience in 2817 patients
  15. Tumor-related obstruction of the inferior vena cava extending into the right heart--a plea for surgery in deep hypothermic circulatory arrest
  16. Surgery for critical congenital aortic stenosis during the first three months of life
  17. Spontaneous rupture of the ascending aorta
  18. A concealed impalement injury of the chest--an unusual intrathoracic foreign body
  19. Coronary artery bypass surgery in patients with angina pectoris and hypothyroidism
  20. Surgical treatment of airway obstruction associated with congenital heart disease in infants and small children
  21. Sandwich repair with two sheets of equine pericardial patch for acuteposterior post-infarction ventricular septal defect
  22. Eleven years' experience with Carpentier-Edwards biological valves in relation to survival and complications
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