By the use of the xenon-residue detection technic, myocardial blood flow (MBF) was assessed 3-17 months after surgery in nine patients with an aorta-to-left anterior descending bypass (LAD-BP), in nine patients with an aorta-to-right coronary artery bypass (RCA-BP), and in two patients with both LAD-and RCA-BP. In addition, MBF was registered in the corresponding main coronary artery. In each case coronary angiography revealed a patent vein graft. LAD-BP flow averaged 58 ml/min/100 g, this being slightly lower than the average flow value recorded after injection into the main left coronary artery of these patients (64 ml/min/100 g). LAD-BP flow did not differ from the value From the ment of angina pectoris.' The low operative mortality and often striking postoperative clinical results are important factors contributing to the success of this method. This is confirmed by postoperative investigations reporting angiographic patency of vein grafts in 80% of the patients.2 3 In spite of the favorable angiographic and clinical observations, objective evaluation of bypass function remains indispensable in order to avoid inadequate or false conclusions as were encountered in patients submitted to internal mammary 445 by guest on March 30, 2015 http://circ.ahajournals.org/ Downloaded from