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Canadian Medical Association Journal logoLink to Canadian Medical Association Journal
letter
. 1962 Jun 16;86(24):1116–1118.

An Operation Designed to Promote the Growth of New Coronary Arteries, Using a Detached Omental Graft

A Preliminary Report

Arthur Vineberg, Roque Pifarre, Claude Mercier
PMCID: PMC1849201  PMID: 13926096

Abstract

The human greater omentum exhibits a marked affinity for inflamed surfaces, to which it supplies numerous blood vessels. To achieve myocardial revascularization by omental graft the root of the aorta, the epicardium over both ventricles and the serosal layer of the pericardium were removed in 17 animals. A piece of greater omentum was removed from the abdomen, unfolded and wrapped around the entire heart, and fixed by interrupted sutures to the base of the aorta. Myocardial ischemia was created at the time of operation by ameroid constriction of coronary arteries. Vessels, arteriolar or larger, were found to grow from the root of the aorta, the myocardium and the pericardium into the detached free omental graft, which apparently acted as a conveyer for new vessels, including new coronary arteries, to reach the myocardium.

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