Pedicled omentum versus free omental graft for myocardial revascularization.

The most frequently used method for myocardial r e v e t i o n today is by direct arterial implantation into the heart in conjunction with use of a free omental graft. The question that is raised is whether the pedicled omentum might not be a greater s o m e of extra-cardiac blood than that supplied by the free omenlal graft. The intact omentnm has been used in the past, but never received clinical acceptance apparently because of fear of causing postoperative gastric discomfort. Recent work on the technique of omental tmmposition now makes this likelihood quite remote. The pedicled omentum would appear to be superior to the free omeutnm for pqxwm of my* cardial rev-n. The purpose of this paper is to bring this possibility into focna