Historical review of development of indirect methods of myocardial revascularization

The article presents a historical review. For several decades, the diseases of circulatory system have remained one most pressing problems mankind. However, in recent years there has been tendency to decrease mortality from cardiovascular pathologies including coronary heart disease. At dawn study artery disease, problem surgical treatment pathology looked practically unsolvable: was no knowledge pathophysiology, microsurgical instruments, and artificial circulation apparatus. Among other things, stereotype "inviolability" muscle firmly entrenched minds operating surgeons. A safe operation on human only dream object ridicule among surgeons XIX early XX centuries. describes history angina pectoris indirect methods myocardial revascularization. first operations were aimed at eliminating pain syndrome inducing angiogenesis, creating neocollaterals blood vessel-rich organs tissues improve regional perfusion. Exactly these techniques become "bridge" tactics exclusively conservative management modern cardiac surgery.