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Total arterial revascularization in patients with three-vessel disease cannot usually be achieved by bilateral internal thoracic artery grafts alone due to limited length. In this report we describe a technique by which the right internal thoracic artery can be elongated with radial artery for sequential grafting in redo total arterial revascularization procedure.

european journal of cardio-thoracic surgery

Elongation of right internal thoracic artery with radial artery for redo total arterial revascularization in patients with open left internal thoracic artery to left anterial descending artery graft