In 1945 Vineberg introduced surgical revascularisation utilising left internal mammary artery (LIMA) implantation into the myocardium. In 2003 a 90‐year‐old man was admitted with third degree atrioventicular block. A pacemaker was implanted. He had undergone Vineberg‘s procedure in 1972, but since then he had not received any cardiovascular drugs such as statins, angiotensin converting enzyme inhibitors, antiplatelet agents, or β blockers. He suffered from angina pectoris (Canadian Cardiovascular Society grade II), and his ejection fraction was 35%. The right coronary artery was normal, but the native left coronary artery (LAD) was occluded. However, the LIMA was patent with good filling of the diagonal artery and the LAD partially (panel).
