Background: With the increase use of IMA and arterial conduits, as well as evolution of other techniques of arterial anastomoses and usage of bilateral IMA, surgeons are able to graft more number of vessels especially with Pedicled internal thoracic arteries.
Aim Of The Work: to delineate the immediate term outcome and efficacy of bilateral internal mammary grafting for multiple coronary branches.
Patients And Methods: a prospective non randomized study done at National Heart Institute, Cairo, Egypt from January 2018 till the end of 2020. It included 50 patients indicated for first-do on pump CABG.
Results: No mortality was found in our study with no signs of ischemia or myocardial infarction, no rise in troponin level post-operatively.
Conclusion: Total arterial revascularization using the composite T graft is a safe procedure with low mortality rates .