ABSTRACT
We have been studying feasible surgical alternatives for treating congestive heart failure, including the use of cardiomyoplasty. In this operation, skeletal muscles are conditioned, through electrical stimulation, to provide active tension on diseased myocardium, which improves left ventricular performance and ultimately increases cardiac output. We performed cardiomyoplasty in a 37-year-old man with severe ischemic cardiomyopathy. He was discharged from the hospital 2.5 months after the operation, and he did not require medical therapy. We believe this to be the 1st cardiomyoplasty performed in Ukraine.
Subject(s)
Cardiomyoplasty , Heart Failure/surgery , Hemodynamics/physiology , Myocardial Infarction/surgery , Follow-Up Studies , Heart Failure/physiopathology , Humans , Male , Middle Aged , Myocardial Contraction/physiology , Myocardial Infarction/physiopathology , Suture Techniques , Ukraine , Ventricular Function, Left/physiologyABSTRACT
Description and results of the first clinical use of a new method of extended myoventriculoplasty with the simultaneous implantation of a cardiosynchronized programmable electroneurostimulator are presented. Stepwise training of skeletal muscle in order to adapt it to fulfilling the function of the contracting heart was studied. The technique of myoventriculoplasty was used in patients with severe ischaemic heart disease and dilated cardiomyopathy. During the study, an original Soviet-made implanted programmable and cardiosynchronized electroneurostimulator was tested for the first time in clinical practice. Early postoperative results are satisfactory.
