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Proximal Endarterectomy, Arterial Reconstruction for Coronary Occlusion at Aortic Origin
DAVID C. SABISTON, JR., MD;
PAUL A. EBERT, MD;
GOTTLIEB C. FRIESINGER, MD;
RICHARD S. ROSS, MD;
BRUCE SINCLAIR-SMITH, MD
AMA Arch Surg. 1965;91(5):758-764.
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THE DEVELOPMENT of coronary arteriography during the past decade has greatly expanded the ability to establish an accurate diagnosis of coronary arterial obstruction. Radiographic visualization of the coronary arteries provides an objective method for establishing the site and magnitude of vascular occlusion, and with increased experience the procedure has become both reliable and safe.1-3 As a result of the information gained by this technique, a number of patients have now been operated upon successfully for the direct relief of a variety of coronary arterial lesions.
Coronary atherosclerosis most frequently attacks the proximal portions of the coronary vessels, a fact which has been repeatedly documented by a number of pathological studies. In most instances the lesions involve the first several centimeters of the coronary arteries. However, in the recent past it has been noted that coronary atherosclerosis may be sharply localized to the first several millimeters of a coronary artery
. . . [Full Text PDF of this Article]
Author Affiliations
DURHAM, NC; BALTIMORE; NASHVILLE, TENN
From the Department of Surgery, Duke University Medical Center, and the Department of Medicine, Johns Hopkins University.
Footnotes
Read before Annual Meeting of North American Chapter of the International Cardiovascular Society, New York, June 19, 1965.
Reprint requests to the Duke University Medical Center, Durham, NC 27706 (Dr. Sabiston).
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