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Revascularization of the Heart

Revascularization of the Heart Revascularizationrt represents a surgical attempt to circumvent the ischemic effects of atherosclerosis by supplying blood to the myocardium via channels that supplement, or substitute for, the coronary arteries. The procedure is based upon the fact that coronary artery disease, although a diffuse process, usually is confined to the epicardial segment of the artery; the arterioles buried in the myocardium often remain free of disease. Many surgical procedures have been developed to augment the reduced blood flow through the diseased coronary arteries by connecting this intact distribution network to a new blood source. Perhaps the most successful has been the Vineberg operation. In this procedure, the left internal mammary artery is mobilized and implanted within a tunnel in the left ventricular wall. Since, however, the entire heart cannot be revascularized by this method, Dr. Vineberg and other investigators have developed several supplementary procedures to extend revascularization to other areas of the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Revascularization of the Heart

JAMA , Volume 195 (9) – Feb 28, 1966
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Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1966.03100090019007
Publisher site
See Article on Publisher Site

Abstract

Revascularizationrt represents a surgical attempt to circumvent the ischemic effects of atherosclerosis by supplying blood to the myocardium via channels that supplement, or substitute for, the coronary arteries. The procedure is based upon the fact that coronary artery disease, although a diffuse process, usually is confined to the epicardial segment of the artery; the arterioles buried in the myocardium often remain free of disease. Many surgical procedures have been developed to augment the reduced blood flow through the diseased coronary arteries by connecting this intact distribution network to a new blood source. Perhaps the most successful has been the Vineberg operation. In this procedure, the left internal mammary artery is mobilized and implanted within a tunnel in the left ventricular wall. Since, however, the entire heart cannot be revascularized by this method, Dr. Vineberg and other investigators have developed several supplementary procedures to extend revascularization to other areas of the

Journal

JAMA – American Medical Association

Published: Feb 28, 1966

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