Complete arterial revascularization using the mammary Y-graft

The recent trend is to revascularize the entire heart with arterial grafts. Five selected patients were operated using the mammary Y-graft for complete arterial revascularization. The immediate postoperative courses were uneventful. One patient presented five months later with atypical angina and a string phenomenon at the distal part of the Y-graft on catheterization, without ischemic changes on stress test. The four other patients had no complaints and no ischemic changes on stress test nine months to 4.5 years later. Using the mammary Y-graft a complete arterial revascularization can be accomplished.