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Case reports

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

Division of Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical School, Carl-Neuberg Strasse 1, 30625, Hannover, Germany

Received 28 January 2009; accepted 5 March 2009.

^_* Corresponding author. Tel.: +49 511 532 6582; fax: +49 511 532 5404. (Email: Zhang.Ruoyu{at}mh-hannover.de).

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.

Key Words: Total arterial revascularization • Right internal thoracic artery • Radial artery • Redo procedure