Many surgical procedures have been developed to overcome the effects of multiple blocks in diseased coronary arteries. Basically, surgery can make 2 contributions. One is the addition of extracardiac blood to the ischemic heart. The other is the redistribution of blood more equitably among various parts of the ischemic heart.
Radical cardioomentopexy was devised in our laboratories to accomplish both of these goals.1 The operation consists of chemical and surgical removal of epicardium from right and left ventricle and abrasion of parietal pericardium. Multiple vascular strips of omentum are then implanted into the left ventricle, usually 10-12 being used. After light dusting of the myocardium with talc, a wide strip of omentum is applied over the origin of the left coronary artery, over the conus arteriosus, and onto the origin of the right coronary artery. Finally, remaining omentum is sutured beneath pericardium to gain maximum coverage of the denuded
KNOCK FE, SESSIONS RW, BEATTIE EJ. Surgical Procedures for Myocardial RevascularizationA Comparative Study. Arch Surg. 1960;81(5):807-811. doi:10.1001/archsurg.1960.01300050129023