[A successful case report of coronary bypass grafting by utilizing inferior epigastric artery, gastroepiploic artery and bilateral internal thoracic artery].

We performed coronary artery bypass grafting with the bilateral internal thoracic artery (ITA), right gastroepiploic artery (RGEA) and inferior epigastric artery (IEA) on a 53-year-old patient who was associated with familiar hypercholesterolemia. The IEA was extended with right ITA as a composite graft and sequentially anastomosed to the right coronary artery and distal branch of the right coronary artery. Both the LITA to the left anterior descending artery and the RGEA to the circumflex artery were used as in situ graft. The postoperative coronary angiogram showed all the graft patient.