First experience with cardiomyoplasty in Ukraine

Area of Science:

• Cardiovascular Surgery
• Regenerative Medicine
• Biomedical Engineering

Background:

• Congestive heart failure (CHF) remains a leading cause of mortality worldwide.
• Current treatments for advanced CHF have limitations, necessitating novel therapeutic approaches.
• Cardiomyoplasty, a surgical technique involving skeletal muscle augmentation, is being explored as a viable alternative.

Observation:

• A 37-year-old male patient presented with severe ischemic cardiomyopathy.
• The patient underwent a cardiomyoplasty procedure, a novel surgical intervention.
• This case represents the first cardiomyoplasty performed in Ukraine.

Findings:

• The cardiomyoplasty involved conditioning skeletal muscle via electrical stimulation to support the diseased myocardium.
• Post-operation, the patient demonstrated improved left ventricular performance and increased cardiac output.
• The patient was discharged 2.5 months after surgery with no requirement for ongoing medical therapy.

Implications:

• Cardiomyoplasty shows promise as a feasible surgical alternative for treating severe congestive heart failure.
• This technique could potentially improve cardiac output and reduce reliance on pharmacological treatments.
• The successful application of cardiomyoplasty in Ukraine marks a significant advancement in cardiac surgical options in the region.