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Performing the proximal anastomosis of a free arterial graft to the ascending aorta is problematic, especially if the wall of the aorta is calcified or thickened. We describe a method, which makes it possible to avoid this procedure.

Radial artery graft inflow from the undetached, unharvested RIMA: a method to avoid proximal anastomosis to the aorta in CABG surgery