Atta Behfar, MD, PhD

  • 4043 Citations
  • 32 Scopus h-Index
20022019
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Research Output 2002 2019

2019

CORR® ORS Richard A. Brand Award: Disruption in Peroxisome Proliferator-Activated Receptor-γ (PPARG) Increases Osteonecrosis Risk Through Genetic Variance and Pharmacologic Modulation

Wyles, C. C., Paradise, C. R., Houdek, M. T., Slager, S. L., Terzic, A., Behfar, A., van Wijnen, A. J. & Sierra, R. J., Aug 1 2019, In : Clinical orthopaedics and related research. 477, 8, p. 1800-1812 13 p.

Research output: Contribution to journalArticle

Peroxisome Proliferator-Activated Receptors
Osteonecrosis
PPAR gamma
Thigh
Single Nucleotide Polymorphism

Diastolic Pulmonary Gradient as a Predictor of Right Ventricular Failure After Left Ventricular Assist Device Implantation

Alnsasra, H., Asleh, R., Schettle, S. D., Pereira, N. L., Frantz, R., Edwards, B. S., Clavell, A. L., Maltais, S., Daly, R. C., Stulak, J. M., Rosenbaum, A. N., Behfar, A. & Kushwaha, S. S., Aug 20 2019, In : Journal of the American Heart Association. 8, 16, p. e012073

Research output: Contribution to journalArticle

Open Access
Heart-Assist Devices
Vascular Resistance
Lung
Mortality
Pulmonary Hypertension
4 Citations (Scopus)

M3RNA Drives Targeted Gene Delivery in Acute Myocardial Infarction

Singh, R. D., Hillestad, M. L., Livia, C., Li, M., Alekseev, A. E., Witt, T. A., Stalboerger, P. G., Yamada, S., Terzic, A. & Behfar, A., Jan 1 2019, In : Tissue Engineering - Part A. 25, 1-2, p. 145-158 14 p.

Research output: Contribution to journalArticle

Gene therapy
Genes
Myocardial Infarction
Proteins
Genetic Therapy
1 Citation (Scopus)
Open Access
Architectural Accessibility
Heart-Assist Devices
Cardiac Catheterization
Hemodynamics
Pulmonary Wedge Pressure

Novel Use for Intracardiac Echocardiography: Evaluation of Patients With Continuous Flow Left Ventricular Assist Devices

Kassi, M., Rosenbaum, A. N., Wiley, B. M. & Behfar, A., Feb 1 2019, In : JACC: Cardiovascular Imaging. 12, 2, p. 363-366 4 p.

Research output: Contribution to journalArticle

Heart-Assist Devices
Echocardiography
4-methyl-2,3-secocholestane-2,3-diol

Pulmonary artery catheter epidemiology of risk in pre-heart-transplant recipients

Yetmar, Z. A., Lahr, B., O'Horo, J., Behfar, A., Sampathkumar, P. & Beam, E., Jan 1 2019, In : Infection Control and Hospital Epidemiology.

Research output: Contribution to journalArticle

Pulmonary Artery
Epidemiology
Catheters
Infection
Transplants
1 Citation (Scopus)

Regeneration for All: An Odyssey in Biotherapy

Behfar, A. & Terzic, A., Apr 1 2019, In : European heart journal. 40, 13, p. 1033-1035 3 p.

Research output: Contribution to journalArticle

Open Access
Biological Therapy
Regeneration

Safety and Risk of Major Complications With Diagnostic Cardiac Catheterization

Al-Hijji, M. A., Lennon, R. J., Gulati, R., El Sabbagh, A., Park, J. Y., Crusan, D., Kanwar, A., Behfar, A., Lerman, A., Holmes, D., Bell, M. & Singh, M., Jul 1 2019, In : Circulation. Cardiovascular interventions. 12, 7, p. e007791

Research output: Contribution to journalArticle

Cardiac Catheterization
Safety
Angiography
Cardiac Tamponade
Cardiogenic Shock
2018

Clinical experience with regenerative therapy in heart failure advancing care with cardiopoietic stem cell interventions

Bartunek, J., Terzic, A., Behfar, A. & Wijns, W., May 1 2018, In : Circulation research. 122, 10, p. 1344-1346 3 p.

Research output: Contribution to journalArticle

Stem Cells
Heart Failure
Clinical Trials
Therapeutics
Population
5 Citations (Scopus)

Elimination of purkinje fibers by electroporation reduces ventricular fibrillation vulnerability

Livia, C., Sugrue, A., Witt, T., Polkinghorne, M. D., Maor, E., Kapa, S., Lehmann, H. I., DeSimone, C. V., Behfar, A., Asirvatham, S. J. & McLeod, C. J., Aug 1 2018, In : Journal of the American Heart Association. 7, 15, e009070.

Research output: Contribution to journalArticle

Purkinje Fibers
Electroporation
Ventricular Fibrillation
Canidae
Shock
1 Citation (Scopus)

First-in-Human Use of a Retention-Enhanced Catheter for Endomyocardial Cell Delivery

CHART Program, Feb 26 2018, In : JACC: Cardiovascular Interventions. 11, 4, p. 329-338 10 p.

Research output: Contribution to journalLetter

Catheters
1 Citation (Scopus)

Hemodynamic Assessment of Patients With and Without Heart Failure Symptoms Supported by a Continuous-Flow Left Ventricular Assist Device

Asleh, R., Hasin, T., Briasoulis, A., Schettle, S. D., Borlaug, B. A., Behfar, A., Pereira, N. L., Edwards, B. S., Clavell, A. L., Joyce, L. D., Maltais, S., Stulak, J. M. & Kushwaha, S. S., Jul 1 2018, In : Mayo Clinic Proceedings. 93, 7, p. 895-903 9 p.

Research output: Contribution to journalArticle

Heart-Assist Devices
Heart Failure
Hemodynamics
Cardiac Catheterization
Pulmonary Wedge Pressure

Reply to the Letter to the Editor: Stem Cells Combined with Platelet-rich Plasma Effectively Treat Corticosteroid-induced Osteonecrosis of the Hip: A Prospective Study

Houdek, M. T., Wyles, C. C., Collins, M. S., Howe, B. M., Terzic, A., Behfar, A. & Sierra, R. J., May 1 2018, In : Clinical Orthopaedics and Related Research. 476, 5, p. 1129-1130 2 p.

Research output: Contribution to journalLetter

Platelet-Rich Plasma
Osteonecrosis
Hip
Adrenal Cortex Hormones
Stem Cells
6 Citations (Scopus)

Stem Cells Combined with Platelet-rich Plasma Effectively Treat Corticosteroid-induced Osteonecrosis of the Hip: A Prospective Study

Houdek, M. T., Wyles, C. C., Collins, M. S., Howe, B. M., Terzic, A., Behfar, A. & Sierra, R. J., Feb 1 2018, In : Clinical Orthopaedics and Related Research. 476, 2, p. 388-397 10 p.

Research output: Contribution to journalArticle

Platelet-Rich Plasma
Osteonecrosis
Hip
Adrenal Cortex Hormones
Stem Cells
3 Citations (Scopus)

Towards regeneration: The evolution of medicine from fighting to building

Hargraves, I. G., Behfar, A., Foxen, J. L., Montori, V. M. & Terzic, A., Jan 1 2018, In : BMJ (Online). 361, k1586.

Research output: Contribution to journalReview article

Regeneration
Medicine
2017
4 Citations (Scopus)

Autosomal Dominant Polycystic Kidney Patients May Be Predisposed to Various Cardiomyopathies

Chebib, F., Hogan, M. C., El-Zoghby, Z. M., Irazabal Mira, M., Senum, S. R., Heyer, C. M., Madsen, C. D., Cornec-Le Gall, E., Behfar, A., Harris, P. C. & Torres, V., Sep 1 2017, In : Kidney International Reports. 2, 5, p. 913-923 11 p.

Research output: Contribution to journalArticle

Autosomal Dominant Polycystic Kidney
Cardiomyopathies
Hypertrophic Cardiomyopathy
Dilated Cardiomyopathy
Mutation
63 Citations (Scopus)

Cardiopoietic cell therapy for advanced ischaemic heart failure: Results at 39 weeks of the prospective, randomized, double blind, sham-controlled CHART-1 clinical trial

Bartunek, J., Terzic, A., Davison, B. A., Filippatos, G. S., Radovanovic, S., Beleslin, B., Merkely, B., Musialek, P., Wojakowski, W., Andreka, P., Horvath, I. G., Katz, A., Dolatabadi, D., El Nakadi, B., Arandjelovic, A., Edes, I., Seferovic, P. M., Obradovic, S., Vanderheyden, M., Jagic, N. & 34 others, Petrov, I., Atar, S., Halabi, M., Gelev, V. L., Shochat, M. K., Kasprzak, J. D., Sanz-Ruiz, R., Heyndrickx, G. R., Nyolczas, N., Legrand, V., Guédès, A., Heyse, A., Moccetti, T., Fernandez-Aviles, F., Jimenez-Quevedo, P., Bayes-Genis, A., Hernandez-Garcia, J. M., Ribichini, F., Gruchala, M., Waldman, S. A., Teerlink, J. R., Gersh, B. J., Povsic, T. J., Henry, T. D., Metra, M., Hajjar, R. J., Tendera, M., Behfar, A., Alexandre, B., Seron, A., Stough, W. G., Sherman, W., Cotter, G. & Wijns, W., Mar 1 2017, In : European Heart Journal. 38, 9, p. 648-660 13 p.

Research output: Contribution to journalArticle

Cell- and Tissue-Based Therapy
Heart Failure
Clinical Trials
Mesenchymal Stromal Cells
Stroke Volume
4 Citations (Scopus)

Generation and phenotypic characterization of Pde1a mutant mice

Wang, X., Yamada, S., Lariviere, W. B., Ye, H., Bakeberg, J. L., Irazabal Mira, M., Chebib, F., Van Deursen, J., Harris, P. C., Sussman, C. R., Behfar, A., Ward, C. J. & Torres, V., Jul 1 2017, In : PLoS One. 12, 7, e0181087.

Research output: Contribution to journalArticle

Cystic Kidney Diseases
Autosomal Dominant Polycystic Kidney
kidneys
Aquaporin 2
Calcium
16 Citations (Scopus)

Humanized mouse model for assessing the human immune response to xenogeneic and allogeneic decellularized biomaterials

Wang, R. M., Johnson, T. D., He, J., Rong, Z., Wong, M., Nigam, V., Behfar, A., Xu, Y. & Christman, K. L., Jun 1 2017, In : Biomaterials. 129, p. 98-110 13 p.

Research output: Contribution to journalArticle

Biocompatible Materials
Biomaterials
Hydrogels
Helper-Inducer T-Lymphocytes
Extracellular Matrix
3 Citations (Scopus)

Make regeneration great again; Stronger together

Behfar, A. & Terzic, A., Apr 14 2017, In : European Heart Journal. 38, 15, p. 1094-1095 2 p.

Research output: Contribution to journalShort survey

Regeneration
1 Citation (Scopus)

Posology for regenerative therapy

Terzic, A. & Behfar, A., Jan 1 2017, In : Circulation Research. 121, 11, p. 1213-1215 3 p.

Research output: Contribution to journalEditorial

Therapeutics
1 Citation (Scopus)

Pulmonary Pressure Assessment with the Total Artificial Heart

Joyce, D. L., Redfield, M. M., Kushwaha, S. S., Behfar, A., Borlaug, B. A., Daly, R. C., Sandhu, G. S. & Joyce, L. D., Jul 24 2017, (Accepted/In press) In : ASAIO Journal.

Research output: Contribution to journalArticle

Artificial heart
Artificial Heart
Transplants
Pulmonary Artery
Pressure
2016
5 Citations (Scopus)

Calreticulin secures calcium-dependent nuclear pore competency required for cardiogenesis

Faustino, R. S., Behfar, A., Groenendyk, J., Wyles, S. P., Niederlander, N., Reyes, S., Puceat, M., Michalak, M., Terzic, A. & Terzic, C. M., Mar 1 2016, In : Journal of Molecular and Cellular Cardiology. 92, p. 63-74 12 p.

Research output: Contribution to journalArticle

Calreticulin
Nuclear Pore
Muscle Development
Calcium
Cell Nucleus Active Transport
7 Citations (Scopus)

Clinical development plan for regenerative therapy in heart failure

Terzic, A., Behfar, A. & Filippatos, G., Feb 1 2016, In : European Journal of Heart Failure. 18, 2, p. 142-144 3 p.

Research output: Contribution to journalArticle

15 Citations (Scopus)

Collagen and Fractionated Platelet-Rich Plasma Scaffold for Dermal Regeneration

Houdek, M. T., Wyles, C. C., Stalboerger, P. G., Terzic, A., Behfar, A. & Moran, S. L., May 1 2016, In : Plastic and Reconstructive Surgery. 137, 5, p. 1498-1506 9 p.

Research output: Contribution to journalArticle

Plasma Skin Regeneration
Platelet-Rich Plasma
Collagen
Skin
Hydrogels
35 Citations (Scopus)

Congestive Heart Failure Cardiopoietic Regenerative Therapy (CHART-1) trial design

Bartunek, J., Davison, B., Sherman, W., Povsic, T., Henry, T. D., Gersh, B., Metra, M., Filippatos, G., Hajjar, R., Behfar, A., Homsy, C., Cotter, G., Wijns, W., Tendera, M. & Terzic, A., Feb 1 2016, In : European Journal of Heart Failure. 18, 2, p. 160-168 9 p.

Research output: Contribution to journalArticle

Heart Failure
Stem Cells
Safety
Therapeutics
Mortality
12 Citations (Scopus)

Effect of Low-Dose Rapamycin on Senescence Markers and Physical Functioning in Older Adults with Coronary Artery Disease: Results of a Pilot Study

Singh, M., Jensen, M. D., Lerman, A., Kushwaha, S., Rihal, C., Gersh, B. J., Behfar, A., Tchkonia, T., Thomas, R. J., Lennon, R. J., Keenan, L. R., Moore, A. G. & Kirkland, J. L., Jan 1 2016, In : The Journal of frailty & aging. 5, 4, p. 204-207 4 p.

Research output: Contribution to journalArticle

Sirolimus
Coronary Artery Disease
Phenotype
Peroxisome Proliferator-Activated Receptors
Cell Aging
3 Citations (Scopus)

Low body mass index, serum creatinine, and cause of death in patients undergoing percutaneous coronary intervention

Goel, K., Gulati, R., Reeder, G. S., Lennon, R. J., Lewis, B. R., Behfar, A., Sandhu, G. S., Rihal, C. & Singh, M., 2016, In : Journal of the American Heart Association. 5, 11, e003633.

Research output: Contribution to journalArticle

Percutaneous Coronary Intervention
Cause of Death
Creatinine
Body Mass Index
Mortality
2 Citations (Scopus)

Percutaneous Stenting of a Left Ventricular Assist Device Outflow Kink

El Sabbagh, A., Al-Hijji, M., Gulati, R., Rihal, C., Pollak, P. M. & Behfar, A., Dec 26 2016, In : JACC: Cardiovascular Interventions. 9, 24, p. e229-e231

Research output: Contribution to journalArticle

Heart-Assist Devices
Stents
38 Citations (Scopus)

Quantification of decellularized human myocardial matrix: A comparison of six patients

Johnson, T. D., Hill, R. C., Dzieciatkowska, M., Nigam, V., Behfar, A., Christman, K. L. & Hansen, K. C., Jan 1 2016, In : Proteomics - Clinical Applications. 10, 1, p. 75-83 9 p.

Research output: Contribution to journalReview article

Extracellular Matrix
A73025
Proteomics
Proteins
Biocompatible Materials
3 Citations (Scopus)

Regenerative medicine in the practice of cardiology

Terzic, A. & Behfar, A., Apr 7 2016, In : European Heart Journal. 37, 14, p. 1089-1090 2 p.

Research output: Contribution to journalArticle

Regenerative Medicine
Angina Pectoris
Cardiology
Myocardial Ischemia
3 Citations (Scopus)

Repetition rescues regenerative reserve

Behfar, A., Gersh, B. & Terzic, A., Jun 1 2016, In : European Heart Journal. 37, 21, p. 1667-1670 4 p.

Research output: Contribution to journalReview article

25 Citations (Scopus)

Stem cell therapy for heart failure: Ensuring regenerative proficiency

Terzic, A. & Behfar, A., 2016, (Accepted/In press) In : Trends in Cardiovascular Medicine.

Research output: Contribution to journalArticle

Cell- and Tissue-Based Therapy
Stem Cells
Heart Failure
Biological Therapy
Cardiomyopathies
2015
25 Citations (Scopus)

Adipose-derived Mesenchymal Stem Cells Are Phenotypically Superior for Regeneration in the Setting of Osteonecrosis of the Femoral Head

Wyles, C. C., Houdek, M. T., Crespo-Diaz, R. J., Norambuena, G. A., Stalboerger, P. G., Terzic, A., Behfar, A. & Sierra, R. J., Oct 13 2015, In : Clinical Orthopaedics and Related Research. 473, 10, p. 3080-3090 11 p.

Research output: Contribution to journalArticle

Osteonecrosis
Thigh
Mesenchymal Stromal Cells
Regeneration
Bone Marrow
6 Citations (Scopus)

Cardiac AAV9 gene delivery strategies in adult canines: Assessment by long-term serial SPECT imaging of sodium iodide symporter expression

Moulay, G., Ohtani, T., Ogut, O., Guenzel, A., Behfar, A., Zakeri, R., Haines, P., Storlie, J., Bowen, L., Pham, L., Kaye, D., Sandhu, G., O'Connor, M., Russell, S. J. & Redfield, M. M., Jul 1 2015, In : Molecular Therapy. 23, 7, p. 1211-1221 11 p.

Research output: Contribution to journalArticle

Dependovirus
Single-Photon Emission-Computed Tomography
Canidae
Injections
Genes
7 Citations (Scopus)

Cardiopoietic index predicts heart repair fitness of patient-derived stem cells

Crespo-Diaz, R., Yamada, S., Bartunek, J., Terzic, C. M., De Waele, P., Mauën, S., Terzic, A. & Behfar, A., Jul 1 2015, In : Biomarkers in Medicine. 9, 7, p. 639-649 11 p.

Research output: Contribution to journalArticle

Stem cells
Repair
Stem Cells
Mesenchymal Stromal Cells
Transcription Factors
1 Citation (Scopus)

Cardiopoietic Stem Cells for Heart Failure Therapy

Behfar, A. & Terzic, A., Jan 1 2015, Stem Cell and Gene Therapy for Cardiovascular Disease. Elsevier Science Ltd., p. 235-241 7 p.

Research output: Chapter in Book/Report/Conference proceedingChapter

Stem Cells
Heart Failure
Cell- and Tissue-Based Therapy
Therapeutics
Developmental Biology
20 Citations (Scopus)

Decreased Osteogenic Activity of Mesenchymal Stem Cells in Patients With Corticosteroid-Induced Osteonecrosis of the Femoral Head

Houdek, M. T., Wyles, C. C., Packard, B. D., Terzic, A., Behfar, A. & Sierra, R. J., Jul 14 2015, (Accepted/In press) In : Journal of Arthroplasty.

Research output: Contribution to journalArticle

Osteonecrosis
Thigh
Mesenchymal Stromal Cells
Adrenal Cortex Hormones
Bone and Bones
11 Citations (Scopus)

Effect of positive end-expiratory pressure on porcine right ventricle function assessed by speckle tracking echocardiography

Orde, S. R., Behfar, A., Stalboerger, P. G., Barros-Gomes, S., Kane, G. M. & Oh, J. K., Apr 11 2015, In : BMC Anesthesiology. 15, 1, 49.

Research output: Contribution to journalArticle

Positive-Pressure Respiration
Heart Ventricles
Echocardiography
Swine
Arterial Pressure
11 Citations (Scopus)

Endpoints in stem cell trials in ischemic heart failure

Banovic, M., Loncar, Z., Behfar, A., Vanderheyden, M., Beleslin, B., Zeiher, A., Metra, M., Terzic, A. & Bartunek, J., Aug 29 2015, In : Stem Cell Research and Therapy. 6, 1, 159.

Research output: Contribution to journalArticle

Stem cells
Stem Cells
Heart Failure
Clinical Trials
Inventions

Integrate and boost: Bioscaffolds nurture the cardiac regenerative paradigm

Bartunek, J., Vanderheyden, M. & Behfar, A., Sep 23 2015, In : Stem Cell Research and Therapy. 6, 1, 183.

Research output: Contribution to journalReview article

Adult Stem Cells
Stem cells
Seizing
Foster Home Care
Biocompatible Materials
49 Citations (Scopus)

Mesenchymal stem cell therapy for osteoarthritis: Current perspectives

Wyles, C. C., Houdek, M. T., Behfar, A. & Sierra, R. J., Aug 28 2015, In : Stem Cells and Cloning: Advances and Applications. 8, p. 117-124 8 p.

Research output: Contribution to journalReview article

Cell- and Tissue-Based Therapy
Mesenchymal Stromal Cells
Osteoarthritis
Replacement Arthroplasties
Paracrine Communication
29 Citations (Scopus)

Novel <sup>89</sup>Zr cell labeling approach for PET-based cell trafficking studies

Bansal, A., Pandey, M., Demirhan, Y. E., Nesbitt, J. J., Crespo-Diaz, R. J., Terzic, A., Behfar, A. & DeGrado, T. R., Dec 1 2015, In : EJNMMI Research. 5, 1

Research output: Contribution to journalArticle

Positron-Emission Tomography
Mesenchymal Stromal Cells
Bone and Bones
Intravenous Injections
Lung

Percutaneous Fluoroscopic-Guided Endomyocardial Delivery in an Experimental Model of Left Ventricular Assist Device Support

Dalén, M., Behfar, A., Terzic, A., Schiller, P., Seron, A., Sherman, W., Månsson-Broberg, A. & Grinnemo, K. H., Jul 7 2015, In : Journal of Cardiovascular Translational Research. 8, 6, p. 381-384 4 p.

Research output: Contribution to journalArticle

Heart-Assist Devices
Theoretical Models
Catheters
Methylene Blue
Injections
7 Citations (Scopus)

Regenerative Therapy Prevents Heart Failure Progression in Dyssynchronous Nonischemic Narrow QRS Cardiomyopathy

Yamada, S., Arrell, D. K., Martinez-Fernandez, A., Behfar, A., Kane, G. M., Terzic, C. M., Crespo-Diaz, R. J., McDonald, R., Wyles, S. P., Zlatkovic-Lindor, J., Nelson, T. J. & Terzic, A., May 11 2015, In : Journal of the American Heart Association. 4, 5

Research output: Contribution to journalArticle

Cardiomyopathies
Heart Failure
Stem Cells
Equipment and Supplies
Cardiac Resynchronization Therapy
9 Citations (Scopus)

Stem cells versus senescence: The yin and yang of cardiac health

Behfar, A. & Terzic, A., 2015, In : Journal of the American College of Cardiology. 65, 2, p. 148-150 3 p.

Research output: Contribution to journalArticle

Yin-Yang
Mesenchymal Stem Cell Transplantation
Rejuvenation
Ventricular Remodeling
Regenerative Medicine
2014
160 Citations (Scopus)

Cell therapy for cardiac repair-lessons from clinical trials

Behfar, A., Crespo-Diaz, R., Terzic, A. & Gersh, B. J., 2014, In : Nature Reviews Cardiology. 11, 4, p. 232-246 15 p.

Research output: Contribution to journalArticle

Cell- and Tissue-Based Therapy
Clinical Trials
Stem Cells
Cardiovascular Diseases
Heart Failure
23 Citations (Scopus)

Differential Cytotoxicity of Corticosteroids on Human Mesenchymal Stem Cells

Wyles, C. C., Houdek, M. T., Wyles, S. P., Wagner, E. R., Behfar, A. & Sierra, R. J., 2014, In : Clinical Orthopaedics and Related Research. 473, 3, p. 1155-1164 10 p.

Research output: Contribution to journalArticle

Mesenchymal Stromal Cells
Adrenal Cortex Hormones
Steroids
Methylprednisolone
Triamcinolone
23 Citations (Scopus)

Human versus porcine tissue sourcing for an injectable myocardial matrix hydrogel

Johnson, T. D., Dequach, J. A., Gaetani, R., Ungerleider, J., Elhag, D., Nigam, V., Behfar, A. & Christman, K. L., 2014, In : Biomaterials Science. 2, 5, p. 735-744 10 p.

Research output: Contribution to journalArticle

Hydrogel
A73025
Hydrogels
Tissue
Biocompatible Materials
25 Citations (Scopus)

Regenerative heart failure therapy headed for optimization

Terzic, A. & Behfar, A., May 14 2014, In : European Heart Journal. 35, 19, p. 1231-1234 4 p.

Research output: Contribution to journalArticle

Stem Cell Transplantation
Bone Marrow Transplantation
Coronary Artery Bypass
Myocardial Ischemia
Regeneration