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European Journal of Cardio-Thoracic Surgery, Vol 9, 45-49, Copyright © 1995 by European Association for Cardio-thoracic Surgery

ARTICLES

Optimizing muscle synchronization after dynamic cardiomyoplasty. Two educational cases

NR Grubb, C Campanella, GR Sutherland, C Sinclair and KA Fox
Royal Infirmary of Edinburgh, UK.

Muscle stimulator programming is fundamental in ensuring optimal latissimus dorsi graft function after cardiomyoplasty. The ventricle- muscle synchronization delay has a significant effect on graft function, but can be difficult to optimize. The established method for ensuring appropriate synchronization involves the use of M-mode echocardiography. We present two educational cases in which M-mode and Doppler echocardiography have been instrumental in illustrating electrophysiologic and haemodynamic factors which need to be considered in evaluating an appropriate synchronization delay.

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