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more than half a million citizens in the United States annually,1 and it is regarded by several knowledgeable observers to be of epidemic proportion. Of additional importance is the increasing number of young victims with complications of coronary atherosclerosis. Much effort is being directed toward a more basic understanding of this disorder, including its etiology and, particularly, its associated derangements in lipoprotein metabolism. From a clinical viewpoint, advances in the safety and reliability of coronary arteriography have delineated in a more objective

Direct Revascularization Procedure in the Management of Myocardial Ischemia