STUDY ON THE AREA OF THE LATISSIMUS DORSI MUSCLE SUPPLIED BY THE THORACODORSAL ARTERY AIMING AT CARDIOMYOPLASTY

For cardiac assistance using skeletal muscles, wrapping the heart with the latissimus dorsi muscle is mainly used. When making a latissimus dorrsi muscle graft, only the thoracodorsal artery is preserved. Using 3 anatomic cadavers, we examined whether the entire blood circulation of the graft can be...

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Published inJinko Zoki Vol. 21; no. 2; pp. 520 - 523
Main Authors KOSUGE, T., ISHII, M., HOSHINO, K., KONDOU, J., JIN, Y., IMOTO, K., YAMAZAKI, I., SUZUKI, S., YANO, Y., MATSUMOTO, A., ISODA, S., KAJIWARA, H.
Format Journal Article
LanguageJapanese
Published JAPANESE SOCIETY FOR ARTIFICIAL ORGANS 1992
一般社団法人 日本人工臓器学会
Subjects
Cardiomyoplasty
Latissimus dorsi muscle
Vascular anatomy
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ISSN0300-0818
1883-6097
DOI10.11392/jsao1972.21.520

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Abstract For cardiac assistance using skeletal muscles, wrapping the heart with the latissimus dorsi muscle is mainly used. When making a latissimus dorrsi muscle graft, only the thoracodorsal artery is preserved. Using 3 anatomic cadavers, we examined whether the entire blood circulation of the graft can be maintained with the thoracodorsal artery alone by measuring the ratio of the area supplied by the artery to the entire area. The area supplied by the thoracodorsal artery occupied about 25% of the entire area. Collateral circulation in the remaining area may be a study subject hereafter.
AbstractList For cardiac assistance using skeletal muscles, wrapping the heart with the latissimus dorsi muscle is mainly used. When making a latissimus dorrsi muscle graft, only the thoracodorsal artery is preserved. Using 3 anatomic cadavers, we examined whether the entire blood circulation of the graft can be maintained with the thoracodorsal artery alone by measuring the ratio of the area supplied by the artery to the entire area. The area supplied by the thoracodorsal artery occupied about 25% of the entire area. Collateral circulation in the remaining area may be a study subject hereafter. 骨格筋による心機能補助(Cardiomyoplasty)では, 主として有茎広背筋で心を直接wrappingする方法(Dynamic cardiomyoplasty)が用いられている。広背筋グラフトを作製する際には胸背動脈を温存し, 肋間動脈・腰動脈の分枝はすべて切離する。我々は胸背動脈のみでグラフト全体の血流が維持され得るかどうかを検討した。血管造影剤を動脈に注入した解剖実習用遺体3体の広背筋を用い, 軟線撮影により動脈造影像を得た。動脈走行より胸背動脈・肋間動脈・腰動脈を鑑別し吻合の有無を調べた。各動脈の支配領域をプラニメーターで計測して広背筋総面積に対する各々の面積比を測定した。造影所見上胸背動脈と肋間動脈との間には吻合を認めたが, 胸背動脈・肋間動脈と腰動脈との間には吻合を認めなかった。胸背動脈の支配領域は広背筋の停止側約25%, 吻合を持った肋間動脈領域を合わせると約50%であり, 残り50%の領域の血流の維持は不十分と考えられた。
For cardiac assistance using skeletal muscles, wrapping the heart with the latissimus dorsi muscle is mainly used. When making a latissimus dorrsi muscle graft, only the thoracodorsal artery is preserved. Using 3 anatomic cadavers, we examined whether the entire blood circulation of the graft can be maintained with the thoracodorsal artery alone by measuring the ratio of the area supplied by the artery to the entire area. The area supplied by the thoracodorsal artery occupied about 25% of the entire area. Collateral circulation in the remaining area may be a study subject hereafter.
Author ISODA, S.
SUZUKI, S.
IMOTO, K.
MATSUMOTO, A.
ISHII, M.
YAMAZAKI, I.
KAJIWARA, H.
JIN, Y.
YANO, Y.
HOSHINO, K.
KOSUGE, T.
KONDOU, J.
Author_FL 星野 和実
矢野 善己
神 康之
梶原 博一
山崎 一也
鈴木 伸一
井元 清隆
小菅 宇之
松本 昭彦
磯田 晋
石井 正徳
近藤 治郎
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骨格筋による心機能補助の基礎的研究
DocumentTitle_FL 広背筋の胸背動脈支配領域の検討　骨格筋による心機能補助の基礎的研究
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References (1) Carpentier A, Chachques JC: Myocardial substitution with a stimulated skeletal muscle: first successful clenical case. Lancet 1: 1267, 1985
(4) Acker MA, Anderson WA, Hammond RL, Chin AJ, Buchanan JW, Morse CC, Kelly AM, Sthephenson LW: Skeletal muscle ventricles in circulation. J Tharac Cardi ovasc Surg 94: 163, 1987
(5) Mathes SJ, Nahai F: Classification oh the vascular anatomy of muscles: experimental and clinical correlation. Plast Reconstr Surg 67: 177, 1981
(2) Bartlett SP, May J W Jr, Yaremchuk MJ: The latissimus dorsi muscle: A fresh cadaver study of the primary neuro vascular pedicle. Plastid Reconstruc Surg 67: 5, 1981
(3) 磯田晋, 近藤治郎, 井元清隆, 梶原博一, 田村功鈴木伸一, 山崎一也, 石井正徳, 矢野善己, 松本昭彦: 骨格筋による心機能補助に関する研究: 広背筋グラフトの組織血流量計測人工臓器20: 756, 1991
References_xml – reference: (2) Bartlett SP, May J W Jr, Yaremchuk MJ: The latissimus dorsi muscle: A fresh cadaver study of the primary neuro vascular pedicle. Plastid Reconstruc Surg 67: 5, 1981
– reference: (1) Carpentier A, Chachques JC: Myocardial substitution with a stimulated skeletal muscle: first successful clenical case. Lancet 1: 1267, 1985
– reference: (4) Acker MA, Anderson WA, Hammond RL, Chin AJ, Buchanan JW, Morse CC, Kelly AM, Sthephenson LW: Skeletal muscle ventricles in circulation. J Tharac Cardi ovasc Surg 94: 163, 1987
– reference: (3) 磯田晋, 近藤治郎, 井元清隆, 梶原博一, 田村功鈴木伸一, 山崎一也, 石井正徳, 矢野善己, 松本昭彦: 骨格筋による心機能補助に関する研究: 広背筋グラフトの組織血流量計測人工臓器20: 756, 1991
– reference: (5) Mathes SJ, Nahai F: Classification oh the vascular anatomy of muscles: experimental and clinical correlation. Plast Reconstr Surg 67: 177, 1981
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StartPage 520
SubjectTerms Cardiomyoplasty
Latissimus dorsi muscle
Vascular anatomy
Title STUDY ON THE AREA OF THE LATISSIMUS DORSI MUSCLE SUPPLIED BY THE THORACODORSAL ARTERY AIMING AT CARDIOMYOPLASTY
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