[Development of indications in surgery of coronary revascularization. Current role of mammary-coronary anastomoses].

At a time when the cardio-surgical community has become aware that arterial revascularizations are superior to venous bypasses, GRUNTZIG (24) initiated the now well-known, and highly successful techniques of endoluminal angioplasty (P.T.C.A.) thus leading many teams to explore non-surgical revascularizations. These fast changing events somewhat overshadowed the interest placed in arterial anastomoses in general, and in particular, in mammary-coronary anastomoses. We believe that in 1993, many centres have not used this technique to its fullest and propose to the Académie de Chirurgie a programme of operative indications reinstating mammary-coronary anastomosis to its proper place in the treatment of coronary artery disease.