PMID: 5903713Feb 19, 1966

Revascularization of the entire heart by internal mammary artery implantation, epicardiectomy and free omental graft

Canadian Medical Association Journal
A Vineberg


The indications for and the contraindications to total cardiac revascularization are described on the basis of the author's experience. The combined operation of internal mammary artery implant, epicardiectomy and free omental graft was performed on 62 patients. Of 45 who did not have angina at rest without exciting cause (Grade I) 39 showed improvement; 32 returned to full-time work, 18 of whom had been unable to work before operation. There were two operative deaths. Among the 17 patients who were "bed-chair cripples" (angina at rest without cause-Grade II), there was a 24% operative mortality (four deaths), but 76% of the survivors had marked improvement. Only one of this group had been working full-time preoperatively; now nine are working full-time.

Related Concepts

Angina Pectoris
Coronary Heart Disease
Cardiac Surgery Procedures
Thoracic Arteries
Vascular Surgical Procedures

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