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Dynamic Cardiomyoplasty

  • Vinay Badhwar
  • David Francischelli
  • Ray C-J. Chiu
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 225)

Abstract

Dynamic cardiomyoplasty (DCMP) is in the final stages of a clinical trial to evaluate it as a surgical alternative for the management of end-stage heart failure. This procedure is conceptually based upon imparting the contractile force of the patient’s own skeletal muscle to perform cardiac assistance. It is accomplished by wrapping the latissimus dorsi muscle (LDM) around the failing heart and, by means of an implantable cardiomyostimulator, stimulating the muscle to contract in synchrony with cardiac systole. DCMP has been proposed as an alternative and bridge to transplantation in selected patients. Compared with other surgical options in heart failure this approach has a number of advantages. Cardiomyoplasty obviates the donor organ dependency and immunosuppression of transplantation. This totally implantable form of biomechanical assist, also avoids the power constraints and thromboembolic risks experienced with mechanical assist devices. The LDM can be utilized with little or no loss of shoulder function, and the DCMP procedure itself costs significantly less than other surgical options for the treatment of heart failure.

Keywords

Heart Failure Skeletal Muscle Implantable Cardioverter Defibrillator Latissimus Dorsi Muscle Implantable Cardioverter Defibrillator Implantation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Kluwer Academic Publishers 1999

Authors and Affiliations

  • Vinay Badhwar
  • David Francischelli
  • Ray C-J. Chiu

There are no affiliations available

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