Interv Akut Kardiol. 2014;13(4):203-206

A rare redo surgery for ischemic heart disease (MIDCAB) 39 years after Vineberg´s operation

Petr Šantavý¹, Andrea Steriovský¹, Kateřina Maderová¹, Kateřina Přikrylová¹, Ondřej Zuščich¹, Roman Štípal², Jan Tošovský³, Anna Zelená⁴, Petr Němec⁵, Vladimír Lonský¹

¹ Kardiochirurgická klinika, FN a LF UP Olomouc

² I. interní klinika &ndash, kardiologická FN a LF UP Olomouc

³ II. chirurgická klinika VFN a 1. LF UK Praha

⁴ Oddělení rehabilitace FN a LF UP Olomouc

⁵ CKTCH Brno

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.

Keywords: MIDCABG (miniinvasive direct coronary artery bypass grafting), Vineberg´s procedure, redo surgery for ischemic heart disease

Published: December 1, 2014  Show citation