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Coronary Artery Revascularization: Surgical Approach — Standard Management

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Pan Vascular Medicine

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Abstract

Surgery for coronary artery disease has a relatively young history. Indeed, surgical revascularization by means of direct coronary artery anastomoses was introduced as recently as the 1960s, was validated clinically in the 1970s, and achieved widespread acceptance in the 1980s. Before the discovery of direct arterial revascularization, however, significant effort was placed on indirect methods for improving myocardial perfusion. In 1938, Griffith and Bates [1] described implanting blood vessels directly into the myocardium and, in 1950, Arthur Vineberg [2] mobilized the left internal thoracic artery, ligated the vessel distally, and implanted the bleeding end into a tunnel in the left ventricle. In 1956, Charles Bailey, in Philadelphia, attempted to lessen the coronary obstruction directly by means of coronary endarterectomy, by incising the coronary artery at a point beyond the blockage, and passing a special instrument retrograde to pull back, cut, and remove the blockage. In 1962, Donald Effler, at the Cleveland Clinic, treated a similar blockage using a patch graft technique.

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Authors
  1. Anno Diegeler
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  2. Francis G. Duhaylongsod
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  3. Friedrich Wilhelm Mohr
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Editor information

Editors and Affiliations

  1. Herz-Zentrum Coswig, Klinik für Kardiologie und Angiologie, Lerchenfeld 1, 06869, Coswig (Anhalt), Germany

    Peter Lanzer MD

  2. The Cleveland Clinic Foundation, One Clinic Center, 9500 Euclid Avenue, Cleveland, 44195, OH, USA

    Eric J. Topol MD

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Diegeler, A., Duhaylongsod, F.G., Mohr, F.W. (2002). Coronary Artery Revascularization: Surgical Approach — Standard Management. In: Lanzer, P., Topol, E.J. (eds) Pan Vascular Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56225-9_53

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  • DOI: https://doi.org/10.1007/978-3-642-56225-9_53

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