ABSTRACT
Since the advent of coronary artery bypass grafting in 1967, ventricular intramyocardial implantation of an internal mammary artery (IMA) directly into left ventricular (LV) myocardium (Vineberg procedure) has been supplanted. The authors studied the heart of a patient who had undergone concomitant aortocoronary bypass grafting with a saphenous vein (SV) and implantation of an IMA into LV myocardium nearly 16 years earlier. J.S., a 63-year-old man in whom angina pectoris developed at age 46 years (1967), had coronary arteriography at age 48 years and it disclosed severe narrowing of the left main, left circumflex and right coronary arteries. In July 1969 an SV was anastomosed to the aorta and left anterior descending coronary artery and the left IMA was implanted into LV myocardium. He had no further chest pain until age 62 years (1 year before death), when angina reappeared.
