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October 1968

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

Author Affiliations

Caracas, Venezuela; Ann Arbor, Mich
From St. Joseph's Mercy Hospital and the University of Michigan Medical Center, Ann Arbor. Dr. Gago is now at the Sanatorio Simón Bolívar, Caracas, Venezuela.

Arch Surg. 1968;97(4):651-653. doi:10.1001/archsurg.1968.01340040147029

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

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