Objective To summarise and analyse the clinical experience in the use of skeletonised bilateral internal mammary artery in combination with right gastroepiploic artery in coronary artery bypass grafting.
Methods A retrospective review was made to 112 patients underwent Off- Pump Coronary Artery Bypass Grafting since January 2007 to may 2009. The patients were 79 men and 33 women, with a mean age of 67 years (range 42–81 years).
Result Used 112 skeletonised LIMA, with or without sequential grafting, in-situ BIMA, GEA and RA were used in 81(72%), 104(93%) and 59(53%) patients respectively. The mean number of distal anastomoses per patient was 3.43(range 2–5), Compssite Y or T graft was constructed in 41 patients, Sequential anatomoses was performed in 34 patients, Aortic no touch technique was used in 53 patients. There was no hospital mortality, no the perioperative myocardial infarction and sternal wound complication.
Conclusion Skeletonized BIMA in combination with the GEA is a very versatile situ conduit to achieve complete arterial revascularization. The only constraindications for the use of BIMA and GEA grafts were emergency operations with haemodynamic instability.