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James A. Magovern
Anthony P. Furnary
Ignacio Y. Christlieb
George J. Magovern
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Ann Thorac Surg 1992;53:1120-1122
© 1992 The Society of Thoracic Surgeons

Articles

Right latissimus dorsi cardiomyoplasty for left ventricular failure

James A. Magovern, MD*,a,b,c, Anthony P. Furnary, MDa,b,c, Ignacio Y. Christlieb, MDa,b,c, Race L. Kao, PhDa,b,c, George J. Magovern, MDa,b,c

a Department of Cardiothoracic Surgery, Allegheny General Hospital USA
b Surgical Research, Allegheny-Singer Research Institute USA
c Medical College of Pennsylvania, Pittsburgh, Pennsylvania USA

Accepted for publication January 13, 1992.

* Address reprint requests to Dr James A. Magovern, Department of Cardiothoracic Surgery, Allegheny General Hospital, 320 E North Ave, Pittsburgh, PA 15212 USA.

Recent experimental studies have shown that cardiomyoplasty using the right latissimus dorsi provides excellent hemodynamic augmentation. Based on these experimental findings, this procedure was performed in a 40-year-old man with a dilated cardiomyopathy after a large myocardial infarction. The patient tolerated the procedure well and has had marked functional improvement. Examination 6 months after operation demonstrated decreases in right atrial pressure, pulmonary capillary wedge pressure, and left ventricular end-diastolic volume. In addition, increases were noted in cardiac output, stroke volume, left ventricular stroke-work, right ventricular ejection fraction, and left ventricular ejection fraction. Because of this promising clinical result, we have started a series of right latissimus dorsi cardiomyoplasties for left ventricular failure.




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