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The Journal of Thoracic and Cardiovascular Surgery, Vol 101, 661-670, Copyright © 1991 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
DR Anderson, A Pochettino, RL Hammond, E Hohenhaus, AD Spanta, CR Bridges Jr, S Lavine, RD Bhan, M Colson and LW Stephenson
Skeletal muscle ventricles were constructed in fifteen dogs. After a delay
period of 4 weeks the skeletal muscle ventricles were connected to the
descending thoracic aorta with a polytetrafluoroethylene bifurcation graft
(Gore-Tex bifurcation graft, W.L. Gore & Associates, Inc., Elkton,
Md.). The aorta was ligated between the two limbs of the graft so that
there was obligatory blood flow through the skeletal muscle ventricle. Nine
skeletal muscle ventricles were lined with autogenously derived tissue,
either pleura or pericardium, whereas six had no specific lining other than
an induced fibrous reaction. The skeletal muscle ventricles were activated
to contract during cardiac diastole. Aortic diastolic counterpulsation was
achieved in all dogs, with ten surviving from 1 week to beyond 9 months.
Thrombus eventually developed in all but three of the skeletal muscle
ventricles, but no dog had clinical evidence of thromboemboli. The three
thrombus-free skeletal muscle ventricles were lined with pleura, including
the animal surviving beyond 9 months. These results indicate that canine
skeletal muscle can provide aortic diastolic counterpulsation for 9 months
without clinically apparent thromboembolic complications.
ARTICLES
Autogenously lined skeletal muscle ventricles in circulation. Up to nine months' experience
Division of Cardiothoracic Surgery, Wayne State University, Detroit, Mich. 48201.
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G. A. Thomas, S. Isoda, R. L. Hammond, H. Lu, H. Nakajima, H. O. Nakajima, K. Greer, S. J. Gilroy, S. Salmons, and L. W. Stephenson Pericardium-Lined Skeletal Muscle Ventricles: Up to Two Years' In-Circulation Experience Ann. Thorac. Surg., December 1, 1996; 62(6): 1698 - 1706. [Abstract] [Full Text]
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R. R. Lazzara, D. R. Trumble, and J. A. Magovern Autogenous cardiac assist with chronic descending thoracic aortomyoplasty Ann. Thorac. Surg., June 1, 1994; 57(6): 1540 - 1544. [Abstract] [PDF]
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H. Nakajima, H. O. Nakajima, G. A. Thomas, R. L. Hammond, F. W. Mocek, R. Fietsam Jr, A. Pochettino, H. Lu, A. D. Spanta, S. Isoda, et al. Chronic morphologic changes of skeletal muscle ventricles in circulation Ann. Thorac. Surg., April 1, 1994; 57(4): 912 - 920. [Abstract] [PDF]
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G. V. Letsou, J. F. Hogan, P. Lee, J. H. Kim, S. Ariyan, M. L. Dewar, J. C. Baldwin, and J. A. Elefteriades Comparison of 180-degree and 360-degree skeletal muscle nerve cuff electrodes Ann. Thorac. Surg., November 1, 1992; 54(5): 925 - 931. [Abstract] [PDF]
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T. L. Hooper, H. Niinami, R. L. Hammond, H. Lu, R. Ruggiero, A. Pochettino, and L. W. Stephenson Skeletal muscle ventricles as left atrial-aortic pumps: Short-term studies Ann. Thorac. Surg., August 1, 1992; 54(2): 316 - 322. [Abstract] [PDF]
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A. Pochettino, F. W. Mocek, H. Lu, R. L. Hammond, A. D. Spanta, T. L. Hooper, H. Niinami, R. Ruggiero, M. Colson, and L. W. Stephenson Skeletal muscle ventricles with improved thromboresistance: 28 weeks in circulation Ann. Thorac. Surg., June 1, 1992; 53(6): 1025 - 1032. [Abstract] [PDF]
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