Multiple Arterial Revascularization Using the Tangential K-Graft Technique

• Published in: The Annals of thoracic surgery Vol. 80; no. 5; pp. 1948 - 1950
• Main Authors: Orlov, Boris, Gurevitch, Jacob, Kogan, Alexander, Rubchevsky, Victor, Zlotnick, Amnon Y., Aravot, Dan
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-11-2005; Elsevier Science
• Subjects: Aged; Biological and medical sciences; Humans; Male; Medical sciences; Myocardial Revascularization - methods; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the respiratory system; Thoracic Arteries - abnormalities; Thoracic Arteries - surgery; 23; Multiple; Treatment; Respiratory disease; Surgery; Graft; Thorax; Technique; Artery; Revascularization
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2004.05.071

The tangential K graft is a comfortable surgical technique aiming to increase cardiac surgeons’ versatility in performing multiple arterial grafting using only two arterial conduits. One end of the free graft—either the right internal thoracic artery (RITA) or the radial artery (RA)—is attached to a marginal circumflex branch. Its other end is anastomosed end to side to a diagonal branch. After the left internal thoracic artery (LITA) is attached to the left anterior descending coronary artery, a wide-open side-to-side LITA to free RITA or RA anastomosis—resembling the letter K—is constructed.