Bifurcating Radial Artery: a Useful Anatomic Variation for Coronary Artery Bypass Grafting

ABSTRACT

A 56-year-old man with a two year history of chronic stable angina underwent elective coronary artery bypass grafting [CABG] due to angiographic report of three vessel disease and tight stenosis at proximal part of left anterior descending artery [LAD]. While harvesting of radial artery [RA], the distal half of radial artery was found to bifurcate to two parallel branches with equal size. We used this as a single conduit to bypass the first and second obtuse marginal [OM] branches. The patient had a smooth post-operative course and uneventful recovery