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Ann Thorac Surg 1997;63:1711-1712
© 1997 The Society of Thoracic Surgeons

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Invited Commentary

Invited Commentary

Starr-Wood Cardiac Group of Portland, PC 9155 SW Barnes Rd, Suite 240 Portland, OR 97225-6629

The first 20% of the full text of this article appears below.

See also page 1706.

Refinements in the clinical application of dynamic cardiomyoplasty continue to be spurred by hemodynamic and histological observations in the animal laboratory. This study by Takagi and colleagues is an elegant attempt to bring objectivity to the art of this evolving surgical technique. Takagi and colleagues' intent was to clarify the optimal wrapping tightness of the latissimus dorsi by directly quantifying (and varying) the epicardial pressure produced by the muscle wrap and relating that variable to cardiac function. Left ventricular pressure, wall tension, stroke volume, and ejection fraction were the measured endpoints performed in an acutely failing (ß-blocked) heart. Takagi and colleagues conclude that a tight wrap (with an epicardial . . . [Full Text of this Article]

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Effects of Wrapping Tightness on Acute Cardiac Function in Dynamic Cardiomyoplasty

Hisato Takagi, Hajime Hirose, Eisaku Sasaki, Michiya Bando, Yasunobu Furuzawa, Shinji Murakawa, and Yoshio Mori
Ann. Thorac. Surg. 1997 63: 1706-1711. [Abstract] [Full Text]