Multiple arterial revascularization using the tangential K-graft technique.

Orlov, Boris; Gurevitch, Jacob; Kogan, Alexander; Rubchevsky, Victor; Zlotnick, Amnon Y; Aravot, Dan · Ann Thorac Surg · 2005

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Abstract

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.

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