• A Lembcke, H Hotz, S Dushe, C N H Enzweiler, T H Wiese, D E Kivelitz, P Rogalla, W Konertz, and B Hamm.
• Institut für Radiologie, Universitätsklinikum Charité, Campus Charité Mitte, Humboldt Universität zu Berlin. Alexander.Lembcke@gmx.de
• Rofo. 2003 Aug 1;175(8):1086-92.

PurposeTo evaluate the efficacy of passive cardiomyoplasty with the determination of biventricular volumes, global systolic function as well as left-ventricular muscle mass.Materials And MethodsIn 19 patients with congestive heart failure of idiopathic or ischemic origin, a polyester mesh-graft was implanted around both ventricles for stabilization and functional support. Before and three months after surgery, 15 patients underwent EBCT and 4 patients with impaired renal function underwent MRI, for the evaluation of the volume and ejection fraction of both ventricles.ResultsEBCT demonstrated a decrease from 385 to 310 ml in LV-EDV, from 312 to 242 ml in LV-ESV, from 209 to 160 ml in RV-EDV and from 149 to 87 ml in RV-ESV, and an increase from 20 to 26% in LV-EF and from 37 to 50% in RV-EF as well as a reduction of LV-MM from 300 to 274 g (p < 0.05 each). Similar results were obtained by MRI.ConclusionFollowing passive cardiomyoplasty, EBCT and MRI revealed an improvement of the global systolic function as well as a reduction of biventricular volumes and left-ventricular muscle mass.

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