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June 7, 1971

Surgical Treatment of Coronary Arteriosclerosis

Author Affiliations

Johns Hopkins University Baltimore


by Rene G. Favaloro, 132 pp, with illus, $14.50, Baltimore: Williams & Wilkins Co., 1970.

JAMA. 1971;216(10):1650. doi:10.1001/jama.1971.03180360096030

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The rapid acceptance of bypass grafting to coronary arteries in the past two years has, for most cardiac surgeons, reduced the novelty of the procedures described in this volume, but its historic significance is unaffected. Recounted here is the development, in a ten-year period in a single institution, of coronary artery visualization by Mason Sones; internal mammary artery implantation for myocardial revascularization (using the techniques of Vineberg and Sewell, but changing the operation from a blind procedure to a carefully designed operation in which the new blood supply was introduced into the exact area of ischemia); and the introduction and perfection of saphenous vein bypass techniques by Favaloro—first to the right coronary artery, and ultimately to any artery in need of new blood supply. Further refinements of these techniques have been subsequently introduced, particularly the use of microsuture methods to permit anastomosis to very small blood vessels (Green, Jacobson, and