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The Vineberg Procedure in the Era of Transmyocardial Revascularization

A New Paradigm for an Old Operation

  • Chapter
Direct Myocardial Revascularization: History, Methodology, Technology

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 211))

Abstract

The Vineberg procedure consists of implanting the internal mammary artery (IMA) directly into an area of ischemic myocardium. The principle behind its success, as described by Dr. Vineberg, is that the implanted artery will develop communications with the’ sinusoidal’ system within the myocardium, allowing a delivery system of nutrients to ischemic areas which cannot be supplied by occluded epicardial coronary arteries. This was one of the first widely adopted surgical options for treatment of ischemie heart disease and over 15,000 IMA implants had been performed up until the 1970’s. However, skepticism of its physiological basis and the popularization of direct coronary revascularization by Favoloro, led to the abandonment of the Vineberg procedure.

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Authors and Affiliations

  1. The Division of Cardiovascular & Thoracic Surgery, McGill University, Montréal, Quebec, Canada

    John C. Tsang, Carlos M. Li & Ray C.-J. Chiu

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  1. John C. Tsang
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  2. Carlos M. Li
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  3. Ray C.-J. Chiu
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Peter Whittaker Ph.D. George S. Abela M.D.

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© 1999 Springer Science+Business Media New York

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Tsang, J.C., Li, C.M., Chiu, R.CJ. (1999). The Vineberg Procedure in the Era of Transmyocardial Revascularization. In: Whittaker, P., Abela, G.S. (eds) Direct Myocardial Revascularization: History, Methodology, Technology. Developments in Cardiovascular Medicine, vol 211. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-5069-3_2

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  • DOI: https://doi.org/10.1007/978-1-4615-5069-3_2

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-7305-6

  • Online ISBN: 978-1-4615-5069-3

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