[Sequential coronary artery bypass using right gastroepiploic artery].

Between January 1989 and March 1993, sequential coronary artery bypass grafting using the right gastroepiploic artery (RGEA) were performed in seventeen patients. Seven patients were anastomosed from left anterior descending artery to diagonal artery. Six patients were anastomosed from right coronary artery to left circumflex artery. Two patients were anastomosed from right coronary artery to left anterior descending artery. Two patients were anastomosed to two branches of left circumflex artery and one patient was anastomosed from right coronary artery to two branches of left circumflex artery. Postoperative angiograms were performed sixteen patients and patency rate was 93.9% (31/33 anastomoses). There were no early death, and all patients were free from angina. In situ anastomoses with the most of the coronary arteries could be performed, by using sequential RGEA grafting. These results indicated that sequential RGEA grafting is useful for multiple coronary artery bypass grafting by arterial graft.