title: Bilateral radial arterial T graft and the left thoracotomy approach for second redo coronary artery bypass grafting.
abstract: We herein report a case of third coronary artery bypass grafting (CABG) using a bilateral radial artery T graft. There were patent grafts on the anterior aspect of the heart other than the occluded left internal thoracic artery to the left anterior descending (LAD) artery. A T shaped bilateral radial artery conduit was anastomosed from the left subclavian artery to the LAD and first diagonal branch through a left thoracotomy approach. Postoperative angiography demonstrated excellent flow of radial artery conduits. Left thoracotomy with the use of a bilateral radial artery T graft is a useful substitute for anterior re-sternotomy entry in redo CABG.
authors.affiliation: Department of Cardiovascular Surgery, Tsukuba Medical Center Hospital, 1-3-1 Amakubo, Tsukuba, Ibaraki 305-8558, Japan.
authors.forename: I
authors.initials: I
authors.lastname: Fukuda
authors.forename: K
authors.initials: K
authors.lastname: Watanabe
authors.forename: J
authors.initials: J
authors.lastname: Seita
authors.forename: S
authors.initials: S
authors.lastname: Gomi
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000601:surgery*; D017534:Radial Artery / Q000637:transplantation*; D013348:Subclavian Artery / Q000601:surgery*; D013908:Thoracotomy / Q000379:methods*