A Case of Ischemic Cardiomyopathy and Left Bundle-Branch Block Surgically Treated with Coronary Artery Bypass Grafting, Therapeutic Angiogenesis and Biventricular Pacing
10.4326/jjcvs.34.435
- VernacularTitle:冠動脈バイパス術に自己骨髄単核球細胞心筋内移植術および両心室ペーシングを併施した虚血性心筋症の１例
- Author:
Naruto Matsuda
;
Hideki Nakashima
;
Akira Marumoto
;
Yoshinobu Nakamura
;
Satoshi Kamihira
;
Yasushi Kanaoka
;
Shingo Ishiguro
;
Shigetsugu Ohgi
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2005;34(6):435-439
- CountryJapan
- Language:Japanese
-
Abstract:
A 67-year-old man was referred to our department for surgical treatment of ischemic cardiomyopathy. Chest X-ray showed cardiomegaly with a cardiothoracic ratio of 62% and pulmonary congestion. CAG revealed multiple obstructive lesions in the left coronary artery system. LVG and UCG showed ventricular dilatation and dysfunction. ECG showed complete left bundle branch block with a QRS duration of 180ms. He underwent autologous bone marrow cell implantation and biventricular pacing concomitant with coronary artery bypass grafting. He is doing well after 15 months without any complications. Combination with therapeutic angiogenesis and cardiac resynchronization therapy may contribute to the development of new regenerative strategy for patients with severe ischemic cardiomyopathy.
