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The Aortomyocardial Autogenous Vein-Graft: Early and Chronic Assessment of Function

The Aortomyocardial Autogenous Vein-Graft: Early and Chronic Assessment of Function Abstract SURGICAL procedures designed to give collateral circulation to diseased coronary arteries have been under investigation for several decades. The development of an internal mammary-artery implant by Vineberg1 marked a dramatic advance in the treatment of coronary artery disease, though acceptance was delayed until Sones and Shirey2 demonstrated good coronary artery filling through collateral channels from an internal mammary-artery implant. Since then, more surgeons have adopted this procedure, and the operation has received extended clinical application. This communication concerns a modification of the procedure which appears promising on the basis of a series of experimental studies. In this technique, an aortomyocardial autogenous vein-graft is created by anastomosing an autogenous vein from the aorta to a tunnel in the left ventricular myocardium in a manner similar to the Vineberg operation. In comparison with the mammary-artery implant, the vein-graft offers the following advantages: (1) the wider lumen of the vessel provides References 1. Vineberg, A.M.: Development of an Anastomosis Between the Coronary Vessels and a Transplanted Internal Mammary Artery , Canada Med Assoc J 55:117-119 ( (Aug) ) 1946. 2. Sones, F.M., Jr., and Shirey, E.K.: Cinecoronary Arteriography , Mod Conc Cardiovasc Dis 31:735-738 ( (July) ) 1962. 3. Dietrich, E.B., et al: Myocardial Revascularization: Evaluation of Autogenous Vein Grafts Between the Aorta and Myocardium , Ann Thorac Surg 1:671-682 ( (Nov) ) 1965.Crossref 4. Ferlic, R.M.; Quattelbaum, F.W.; and Lillehei, C.W.: Experimental and Clinical Results of Myocardial Revascularization With "Arterialized" Autogenous Vein Graft , J Thorac Cardiovasc Surg 52:813-819 ( (Dec) ) 1966. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

The Aortomyocardial Autogenous Vein-Graft: Early and Chronic Assessment of Function

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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1968.01340040147029
Publisher site
See Article on Publisher Site

Abstract

Abstract SURGICAL procedures designed to give collateral circulation to diseased coronary arteries have been under investigation for several decades. The development of an internal mammary-artery implant by Vineberg1 marked a dramatic advance in the treatment of coronary artery disease, though acceptance was delayed until Sones and Shirey2 demonstrated good coronary artery filling through collateral channels from an internal mammary-artery implant. Since then, more surgeons have adopted this procedure, and the operation has received extended clinical application. This communication concerns a modification of the procedure which appears promising on the basis of a series of experimental studies. In this technique, an aortomyocardial autogenous vein-graft is created by anastomosing an autogenous vein from the aorta to a tunnel in the left ventricular myocardium in a manner similar to the Vineberg operation. In comparison with the mammary-artery implant, the vein-graft offers the following advantages: (1) the wider lumen of the vessel provides References 1. Vineberg, A.M.: Development of an Anastomosis Between the Coronary Vessels and a Transplanted Internal Mammary Artery , Canada Med Assoc J 55:117-119 ( (Aug) ) 1946. 2. Sones, F.M., Jr., and Shirey, E.K.: Cinecoronary Arteriography , Mod Conc Cardiovasc Dis 31:735-738 ( (July) ) 1962. 3. Dietrich, E.B., et al: Myocardial Revascularization: Evaluation of Autogenous Vein Grafts Between the Aorta and Myocardium , Ann Thorac Surg 1:671-682 ( (Nov) ) 1965.Crossref 4. Ferlic, R.M.; Quattelbaum, F.W.; and Lillehei, C.W.: Experimental and Clinical Results of Myocardial Revascularization With "Arterialized" Autogenous Vein Graft , J Thorac Cardiovasc Surg 52:813-819 ( (Dec) ) 1966.

Journal

Archives of SurgeryAmerican Medical Association

Published: Oct 1, 1968

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