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Dynamic cardiomyoplasty, using a functional graft of the latissimus dorsi muscle, has shown promise as a treatment for selected patients with advanced heart failure. The success of this approach depends on maintaining the viability of the muscle, whose distal portion is susceptible to ischaemic damage. We investigated the effects of surgical mobilization on regional muscle blood flow and the influence of electrical stimulation of the muscle.

Observation and basis of improved blood flow to the distal latissimus dorsi muscle: a case for electrical stimulation prior to grafting