[Mammary-coronary artery anastomosis in current cardiological surgery]

The article generalizes the experience in the treatment of 193 patients with ischemic heart disease by operation for direct mammary-coronary anastomosis (MCA). The author discusses technical aspects of the operation, in particular the use of vacuum vessel suturing apparatuses for its accomplishment, problems of extracorporeal circulation, and the long-term results. It is concluded that MCA is one of the most effective, reliable, and economical operations and should be used more widely in the management of ischemic heart disease.