Coronary Bypass Surgery — An ART for Dedicated Surgeons

Coronary-artery bypass grafting (CABG), introduced in the 1960s, remains the standard revascularization treatment for complex coronary disease.1 The left internal thoracic artery, with its excellent patency when used as a graft, is the conduit of choice for anastomosis to the left anterior descending coronary artery. However, the selection of the second conduit remains a matter of debate. Most CABG procedures are performed with a left internal-thoracic-artery graft and saphenous-vein grafts, despite guidelines advocating the use of more arterial grafts. In particular, the use of bilateral internal-thoracic-artery grafting has been associated with better long-term survival than single internal-thoracic-artery grafting in observational . . .