Effects of preconditioning protocols on canine latissimus dorsi muscle

This reporti is a review of numerous protocols that have been used for conditioning of the latissimus dorsi muscle (LDM) for use in cardiomyoplasty. In this study the LDM of mongrel dogs was freed stretched about 1.5 cm and the distal end sutured to the iliac crest. Eleven preconditioining protocols were undertaken using the following technique: stretch, stretch + single pulse stimulation pulse stimulation 45-7--100/min, strech + single stimulation 70-90/min, transection of left teres major (TM), Ttransection + single stimulation 45-75-100/min, subscapularis nerve crush, subscapularis nerve crush + intercostal vessel cut + stimulation 45-70-100/min, subscapularis nerve crush + intercostal or 100/min. A variety of pacemakers were used. Upon sacrifice at 3,4,6,8,16 or 28 weeks, LDMs were removed, wighed and assessed hitologically. In all of the muscles that were subjected to eletrical stimulation alone, atrophy resulted. Our experiments using increased workload and electrical stimulation at variousrtes resulted in conversion of fast to slow fiber types and less fibrosis and adiposis than stimulation alone. Unless a means can be developed to avoid atrophy of the LDM when it is used in the cardiomyoplasty procedure, poor results may be anticipated from the operation.

Compartmentalization in the pig latissimus dorsi muscle.

Portions of the latissimus dorsi (LD) muscle are frequently employed as free muscle or myocutaneous grafts. The functional consequences for both the graft and the remaining donor tissue must depend in part on the neural organization of the muscle. Previous anatomical and clinical reports have suggested that the LD is organized into independently innervated segments, but experimental documentation has been lacking. This study investigated the neural organization of the LD in pigs using (1) synchronous electromyography (EMG) of several sites within the LD and motion analysis of the shoulder and forelimb, and (2) dissection and stimulation of the primary branches of the thoracodorsal nerve, followed by histochemical analysis, to delineate the areas innervated by each. The findings indicated that while there is minor overlap between adjacent segments, the LD can be considered as consisting of three semi-independent compartments. Further, the teres major is linked to the LD functionally as well as anatomically, so that the two muscles can be considered as a four-part complex.

Significance of the biopsy site of the latissimus dorsi muscle for fiber typing.

The use of the latissimus dorsi muscle for cardiomyoplasty requires accurate assessment of the outcome of methods used to convert fast fibers to slow fibers. A knowledge of the normal distribution pattern of slow fibers within the latissimus dorsi is necessary for this endeavor. Fresh latissimus dorsi and teres major muscle tissues from seven pigs, one rabbit, two sheep, one monkey, and four dogs were studied with myosin adenosine triphosphatase staining. Fiber counts were made visually. With the exception of the rabbit, the distribution patterns were similar for all species: (1) intersegmentally--the number of slow fibers decreased steadily from the teres major to the anterior edge of the lateral segment; (2) intrasegmentally--slow fibers were more frequent in the deep layer than the superficial layer; and (3) intrasegmentally--the slow fibers tended to cluster in rosette formations around the neurovascular bundles. These patterns of distribution indicate the need for careful location of biopsies to ensure valid comparison of the amount of slow fibers in tissue before and after treatment.

Comparative anatomy and histochemistry of human and canine latissimus dorsi muscle.

Gross and histologic studies of human and canine latissimus dorsi muscle were carried out to identify anatomic and histochemical properties that may be relevant to its use as a resource muscle, particularly for heart reconstruction. In both human and canine latissimus dorsi, three distinct muscle segments were observed, differing in direction of fibers, fiber characteristics, thickness, and blood supply. The entire canine latissimus dorsi could also be separated into superficial and deep layers, whereas only the anterolateral segment of human latissimus dorsi was separated further by the neurovascular bundle. Histochemical studies suggested significant differences between the ratios of fast to slow fibers in the superior and anterolateral segments of human muscle. Variation in size, weight, and shape within and between subjects demonstrates a need for careful evaluation of the potential resource muscle.

Autotransplantation of skeletal muscle into myocardium.

In a series of 15 studies in dogs, sternocleidomastoid muscle was used to replace deficits created in left ventricular myocardium and sternohyoid muscle was used to replace portions of right myocardial wall. The five right ventricular autotransplants resulted in a 100% surgical success rate, with animals electively killed between 3 and 55 weeks after surgery. In 10 left ventricular studies excision of areas varying from 12 X 46 mm to 30 X 60 mm and incisions of from 40 mm to 70 mm in length were performed. Left ventricular studies resulted in a 60% surgical success rate, with clinically healthy animals being killed for study between 2 weeks and 50 weeks after surgery. Animals surviving the critical surgical recovery period showed no loss of weight or changes in activity. Gross findings at autopsy confirmed the viability of the skeletal muscle transplants. Borders were well healed and the grafted tissue was pliable. Histologic studies suggest that revascularization of skeletal muscle occurred from the myocardial side, and that there were healthy myocardial and skeletal muscle fibers at the junction, with evidence of regeneration.