[Basic trends in the development of coronary surgery].

The author began using successfully mammary-coronary anastomosis in the clinic in 1964. He used both--suture technic of the creation of anastomosis and the vasosuturing apparatus. The author believes that the use of Favaloro and Effler autovenous aortocoronary shunting delayed the clinical use of mammary-coronary anastomosis without any reasonable scientific grounds. He also considers that an inexact historic information on the use of mammary-coronary anastomosis is presented in the literature, and physiological peculiarities of this operation are underestimated so far.