Coronary-coronary radial artery graft for single, distal LAD lesion

Radial artery segment has been used as a coronary-coronary graft for single, distal lesion of the large left anterior descending coronary artery running well over the cardiac apex. In our opinion this technique may occasionally be an attractive approach for bypassing very distal lesions of large coronary arteries combined with regular arterial or venous grafting of the target artery if proximal stenosis is also present. The remnant of the radial artery can be used for grafting of another diseased artery (eg, the large first marginal branch of the circumflex artery in our case report).