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Ann Thorac Surg 1999;67:1344
© 1999 The Society of Thoracic Surgeons

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Invited Commentary

^a Department of Human Anatomy and Cell Biology, University of Liverpool, Liverpool L69 3GE, United Kingdom

Invited commentary

In cardiomyoplasty (CMP), the latissimus dorsi muscle (LDM) of one side (usually the left) is mobilized as a pedicled graft, wrapped around the ventricles, conditioned to render it fatigue-resistant, and activated in synchrony with the cardiac cycle. Originally it was anticipated that the muscular wrap would assist the patient’s heart by actively squeezing the ventricles during each systole. The current consensus is that the benefits derive mainly from a girdling action of the muscle, which reduces wall stress and prevents, or even reverses, the trend to further enlargement. Furuta and coworkers, in an attempt to achieve the original objective of beat-to-beat systolic . . . [Full Text of this Article]

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A new method of double cardiomyoplasty: "contractile muscular sling"

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Ann. Thorac. Surg. 1999 67: 1339-1344. [Abstract] [Full Text] [PDF]