Surgical Measures for Coronary Heart Disease

Indirect Myocardial RevascularizationON the basis of the myocardial sinusoidal circulation demonstrated by the detailed pathological studies of Wearn and his associates,1 Vineberg postulated that a freely bleeding artery surgically implanted into the myocardium might achieve adequate initial runoff and later establish inter-coronary arterial collateral.2 Vineberg applied the indirect revascularization procedure clinically, with apparently excellent early clinical results.3 Skepticism concerning the procedure prevailed for many years because of the lack of objective evaluation of the clinical results. It was not until the development of an effective method for selective cine coronary arteriography by Sones,4 that objective . . .