MYOHEART™ (Myogenesis Heart Efficiency and Regeneration Trial)

Patients who meet all of the following inclusion criteria and none of the exclusion criteria will be enrolled in this clinical study. Inclusion Criteria: Defined region of myocardial dysfunction related to previous myocardial infarction(s) involving the anterior, lateral, posterior or inferior walls, > 12 weeks (84 days) old at the scheduled time of MyoCell™ implantation Patients who have had prior placement of an Implantable Cardioverter Defibrillator (ICD) which must be in place at least one month (30 days) prior to MyoCell™ implantation New York Heart Association (NYHA) Symptom Class II or III on optimal medical therapy Age > 30 and < 80 years old Need for revascularization has been ruled out by coronary angiogram or noninvasive stress testing within six months (180 days) of screening Able to undergo surgical biopsy of the skeletal muscle and successful culture of the harvested myoblasts Target region wall thickness > 6 mm by Echocardiography Left ventricular ejection fraction > 20% and < 40% by Radionuclide Ventriculography or Left Ventricular Angiography at screening Able to give written informed consent Able to walk a minimum distance of 300 meters during the 6-minute walk test Exclusion Criteria: Myocardial infarction within 12 weeks (84 days) prior to investigational procedure New York Heart Association Symptom Class I or IV Coronary Artery Bypass Grafting (CABG) within 3 months (90 days) prior to scheduled MyoCell™ implantation Percutaneous Coronary Intervention (PCI) within 6 months (180 days) prior to MyoCell™ implantation Canadian Heart Classification of angina > Class II or unstable angina Any cardiac valve replacement Heart failure secondary to valvular disease Aortic stenosis greater than mild degree Left ventricular or atrial mural thrombus Chronic pulmonary disease Atherosclerosis and/or tortuosity of the aorta, iliac or femoral arteries of a degree which, in the judgment of the principal investigator, would impede or preclude the safe retrograde passage of the 8FR MyoCath™ delivery catheter History of severe radiocontrast reaction Known sensitivity to gentamicin sulfate and/or amphotericin-B Previous angiogenic therapy and/or myocardial laser therapy Exposure to any investigational drug or procedure within 1 month prior to study entry The use or expected use of antineoplastic drugs or history of cancer within 5 years, except for basal cell carcinoma of the skin Skeletal muscle disease, either primary (i.e., myopathy) or secondary (i.e., ischemic) or any underlying myopathy such as myasthenia gravis, muscular dystrophy, etc. as determined by a board certified pathologist examining sample of patients muscle biopsy Serum creatinine > 2.5 mg/dL or end stage renal disease Prostate Specific Antigen (PSA) suggestive of carcinoma of the prostate (i.e., > 4.0 ng/mL) Carcinoembryonic Antigen (CEA) >5.0 ng/mL or end stage renal disease Active infectious disease and/or who are known to have tested positive for HIV, HTLV, HBV-sAg, HCV, CMV and/or syphilis. If the panel includes antibodies to the HBc and HBV-sAg, then an expert will be consulted as to patient eligibility based on the patient's infectious status Females who are pregnant or nursing Females of childbearing potential who are unwilling to maintain contraceptive therapy for the duration of the study Morbid obesity - more than 100 pounds over ideal body weight or Body Mass Index (BMI) > 40 Any illness which might affect patient's survival over the study 12 month follow-up period* Any illness which, in the Investigator's judgment, will interfere with the patient's ability to comply with the protocol, compromise patient safety, or interfere with the interpretation of the study results No written Informed Consent or unable to provide informed consent