Cases reported "Chagas Cardiomyopathy"

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1/3. Improved left ventricular contraction and energetics in a patient with Chagas' disease undergoing partial left ventriculectomy.

    A 43-year-old patient with heart failure, precluded from heart transplantation or dynamic cardiomyoplasty because of Chagas' disease cardiomyopathy, mitral regurgitation, and ventricular mural thrombi, underwent mitral valvuloplasty and partial left ventriculectomy (PLV) between the papillary muscles. Intraoperative pressure-volume relationship analyses suggested improvement in left ventricular contraction, energetics, isovolumic relaxation, and mitral valve competency. These improvements allowed prompt, short-term recovery despite unchanged myocardial pathology, which suggests that a surgical approach can alter anatomic-geometric factors and achieve clinical improvement in a dilated failing ventricle.
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ranking = 1
keywords = cardiomyoplasty
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2/3. Dynamic cardiomyoplasty in chronic Chagas' heart disease: clinicopathological data.

    We report a 44-year-old man with chronic chagasic cardiomyopathy who underwent latissimus dorsi dynamic cardiomyoplasty and died 4 months later. The clinicopathological findings are discussed, and the literature is reviewed.
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ranking = 5
keywords = cardiomyoplasty
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3/3. Dynamic aortomyoplasty: clinical experience.

    Dynamic aortomyoplasty has been the subject of experimentation for the treatment of congestive heart failure during the last few years. This method consists of diastolic counterpulsation of the ascending aorta through the stimulation of the latissimus dorsi wrapped around it. This report describes the results of aortomyoplasty in a patient with dilated cardiomyopathy resulting from Chagas' disease and contraindications for heart transplantation or cardiomyoplasty.
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ranking = 1
keywords = cardiomyoplasty
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