Latissimus Dorsi Cardiomyoplasty in Severe Congestive Heart Failure: The Lyon Experience
Latissimus Dorsi Cardiomyoplasty in Severe Congestive Heart Failure: The Lyon Experience
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背阔肌心肌成形术治疗严重充血性心力衰竭：里昂经验
DOI：
10.1111/jocs.1991.6.1s.106
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发表时间：
1991
影响因子：
1.6
通讯作者：
P. Mikaeloff
中科院分区：
文献类型：
--
作者：
F. Delahaye;O. Jegaden;P. Montagna;P. Desseigne;P. Blanc;C. Védrinne;P. Touboul;A. Saint;M. Perinetti;R. Rossi;R. Itti;P. Mikaeloff
11名男性患者，纽约心脏协会（NYHA）III级，接受了心肌成形术（Chachques和Carpentier技术）。无死亡病例。2例患者出现低心排血量，1例患者出现大面积主动脉分叉栓塞，1例患者出现军团菌肺炎。所有患者恢复良好。随访时间为6.9 ± 2.3个月。1例患者的Cardiomyostimulator™脉冲序列发生器发生故障，并进行了更换。前7名患者在手术后6个月进行评估。他们都改善了（II类），除了一个，谁是移植。最大运动水平改善（92 ± 18 W vs 60 ± 24 W），心率-收缩压乘积也改善（30，262 ± 3，119 vs 19，908 ± 4，190），主要是由于收缩压升高（200.0 ± 25.5 vs 141.5 ± 20.3 mmHg）。超声心动图参数，最大耗氧量，左心室射血分数（LVEF），心脏指数，氧动静脉差，心脏充盈压没有变化。左心室造影显示背阔肌收缩良好。一个需要研究的问题是心肌成形术（CMP）本身的原理，因为肌肉的作用更多的是提升而不是钳子。我们的患者和其他系列的患者，功能改善，他们锻炼更多。生存率的改善只能通过随机临床试验进行研究。
Eleven male patients, New York Heart Association (NYHA) Class III, have undergone cardiomyoplasty (Chachques and Carpentier technique). There were no deaths. Two patients suffered from low cardiac output, one patient suffered a massive aortic bifurcation embolism, and one patient had a Legionella pneumonia. All patients recovered well. The follow‐up was 6.9 ± 2.3 months. One patient had a Cardiomyostimulator™ Pulse Train Generator failure and had it replaced. The first seven patients were evaluated 6 months after surgery. They all improved (Class II) except for one, who was transplanted. The maximal level of exercise was improved (92 ± 18 W vs 60 ± 24 W), as was the heart rate‐systolic blood pressure product (30,262 ± 3,119 vs 19,908 ± 4,190), mainly due to an increase in systolic blood pressure (200.0 ± 25.5 vs 141.5 ± 20.3 mmHg). Echographic parameters, maximal oxygen consumption, left ventricular ejection fraction (LVEF), cardiac index, oxygen arteriovenous difference, and cardiac filling pressures did not change. The left ventricular (LV) angiography always showed good contraction of the latissimus dorsi. A problem needing investigation is the principle of cardiomyopiasty (CMP) itself, as the muscle acts more as a lift than as pincers. Our patients, and patients from other series, improved functionally, and they exercised more. Improvement in survival can be studied only by a randomized clinical trial.
充血性心力衰竭患者的生存：过去、现在和未来的前景。
影响因子：
37.8
作者：
Massie,BM;Conway,M
通讯作者：
Conway,M