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Ann Thorac Surg 2001;71:341-343
© 2001 The Society of Thoracic Surgeons

Case report

Vineberg graft: flow reserve of bilateral implantation after 27 years

Roger Marx, MDa, Thomas W. Jax, MDa, Malte Kelm, MDa, Frank C. Schoebel, MDa, Bodo E. Strauer, MDa

a Department of Cardiology, Pneumology, and Angiology, Heinrich Heine University Düsseldorf, Düsseldorf, Germany

Accepted for publication April 20, 2000.

Address reprint requests to Dr Marx, Klinik für Kardiologie, Herzzentrum Wuppertal, Universität Witten-Herdecke, Arrenberger Strasse 20, 42117 Wuppertal, Germany

We report a patient who underwent bilateral internal thoracic artery implantation into the myocardium known as a Vineberg procedure 27 years ago. Coronary angiography and Doppler echocardiography revealed patent grafts with total occlusion of all native coronary arteries. We measured flow velocities at rest and under stress conditions with noninvasive ultrasonic Doppler echocardiography. The flow patterns in both grafts were biphasic as in native coronary arteries. Under stress conditions no increase in flow was detectable as a marker of end-stage coronary artery disease with refractory angina pectoris.






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