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To maximize the use of left internal thoracic artery in coronary artery bypass grafting, we have adopted a strategy to revascularize the left anterior descending artery area using a single skeletonized left internal thoracic artery; auto-Y composite grafting and sequential bypassing. This study evaluated graft patency and clinical outcomes after these procedures.

journal of thoracic and cardiovascular surgery

Revascularization of the left anterior descending artery area using a single left internal thoracic artery: Auto-Y composite grafting or sequential bypassing