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.

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.