A rare redo surgery for ischemic heart disease (MIDCAB) 39 years after Vineberg's operation A rare redo surgery for ischemic heart disease (MIDCAB) 39 years after Vineberg's operation A rare redo surgery for ischemic heart disease (MIDCAB) 39 years after Vineberg's operation
Abstract
Surgical treatment for ischemic heart disease went through a long historical development. So called Vineberg's procedure was routinely performed in early fifties of the last century as attempt for heart muscle blood supply improvement.
We are presenting a patient at whom first surgery was performed in 1974. Later on PCI for left anterior descending artery (LAD) stenosis failed.
Left internal mammary artery (LIMA) was natively intact. MIDCABG approach was indicated because of adhesions from previous surgery.
Surgery with extracorporeal support cannulas inserted for safety purposes was uneventful. Patient was released into the rehabilitation facility quickly (on the 7th day).
According to the original surgical record obtained later, during procedure in 1974, Vineberg's approach with vein "tunnelisation" through left ventricle wall was performed because of extensive atherosclerotic changes in LAD which prevented direct vessel anastomosis. Our case report demonstrates combination of different treatment modalities in complicated ischemic heart disease.