In-Situ BITA for the Whole Heart Using OPCAB Technique

We present our off-pump technique to achieve total arterial revascularization in three-vessel disease using exclusively in-situ bilateral mammary arteries.

In the first case a retroaortic RITA is used to revascularize the vessels of the anterior wall and the LITA for the vessels of the lateral and posterior walls.

In the second case, where on the anterior wall only the LAD must be revascularized, the RITA is routed in front of the aorta to reach the LAD, while the LITA is used for the lateral and posterior wall.