Total Arterial Myocardial Revascularization - A One-Year Initial Experience and Literature Review

We presented the results of the clinical outcomes of an isolated cohort of patients in whom coronary disease was treated with total arterial revascularization of the myocardium in the period of one year. We put a special focus on the preparation and use of the gastroepiploic artery as an in situ graft for revascularization of the right and posterior descending coronary arteries considering its less frequent application in cardiac surgery practice. We have shown selected reports of individual publications that we consider to unify the aforementioned strategic approach to treatment of coronary disease. According to the general trend in cardiac surgery to use minimally invasive approaches, part of the publication is dedicated to surgical revascularization through a left mini thoracotomy, where again arterial grafts are absolutely dominant.