Devices, systems, and methods for causing retrograde oxygenated
blood flow in at least a portion of the venous
system of the myocardium are disclosed. Devices and methods include a method for causing retrograde oxygenated
blood flow in at least a portion of the venous
system of the myocardium, the method comprising: implanting a variable occluder in a
coronary sinus region
proximate a
left atrium, wherein the variable occluder is configured to gradually increase a level of
blood flow restriction over a period of days to enable a venous
system of the myocardium to compensate for increased pressure caused by the
gradual increase in the level of blood flow restriction; and following venous system compensation,
shunting oxygenated blood flow into the
coronary sinus to cause
retrograde flow of oxygenated blood in at least a portion of the venous system of the myocardium to thereby enable
revascularization of the myocardium.