Selection of patients and operation for revascularization surgery

In discussing the selection of patients and operations for relief of coronary artery disease, we shall attempt to correlate clinical, laboratory, and pathological information; to show the evolution from a single internal mammary artery implant to our present concept of implant or implants combined with epicardiectomy and free omental graft; and to outline the place of multiple implants with and without free omental grafts, particularly in relation to previous myocardial infarctions. In our experience with well over 400 revascularization operations, followed up to 17 years, 75% of our patients have suffered from one to six previous myocardial infarctions. In addition, since 1962, patients with large left ventricles and ventricles in a state of failure have been successfully treated. In fact, 25% of our patients had chronic left ventricular failure at the time of operation, and 65% of these have returned to the community, no longer with this condition. The point