Preserved skeletal muscle structure with modified electrical stimulation protocol in a cardiomyoplasty patient: A clinico-pathological report

Roberto Lorusso, Ottavio Alfieri, Ugo Carraro, Jan J. Schreuder, H. J J Wellens

Research output: Contribution to journalArticlepeer-review

Abstract

Experimental and clinical studies have recently shown variable degrees of structural abnormalities in the transposed and chronically stimulated muscle graft after cardiomyoplasty procedure. The postoperative stimulation protocol of wrapped skeletal muscle has been claimed to be a major determinant of late structural derangement. Therefore, a modified stimulation protocol had been used after a cardiomyoplasty procedure in a 63-year-old patient. Improved postoperative hemodynamic data could be detected by pressure/volume analysis. After unexpected sudden death occurred at 15 months, autoptic examination showed preserved muscle structure, suggesting that a prudent stimulation protocol may maintain muscle viability and contribute to effective cardiac support.

Original languageEnglish
Pages (from-to)213-215
Number of pages3
JournalEuropean Journal of Cardio-thoracic Surgery
Volume13
Issue number2
DOIs
Publication statusPublished - Feb 1998

Keywords

  • Cardiomyoplasty
  • Muscle viability
  • Stimulation protocol

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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