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Coronary Artery Disease in a Young Man

Mr Donald Ross said that there was still a case to be made out for the Vineberg procedure, which could clearly bring an extra cardiac source of blood into the myocardium and was by no means necessarily superseded by saphenous grafting procedures. Naturally a graft had advantages in providing a blood supply immediately but was dependent upon having a good peripheral run-off. Where this was not available and there was an ischemic area with low perfusion pressure, then in suitably chosen cases a Vineberg type of implant still offered the best prospect of implementing the coronary blood supply.