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Boris Orlov
Jacob Gurevitch
Alexander Kogan
Amnon Y. Zlotnick
Dan Aravot
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Ann Thorac Surg 2005;80:1948-1950
© 2005 The Society of Thoracic Surgeons

How to do it

Multiple Arterial Revascularization Using the Tangential K-Graft Technique

Boris Orlov, MD, Jacob Gurevitch, MD * , Alexander Kogan, MD, Victor Rubchevsky, MD, Amnon Y. Zlotnick, MD, Dan Aravot, MD

Department of Thoracic and Cardiovascular Surgery, Carmel Medical Center, Technion-Haifa, Israel

Accepted for publication May 7, 2004.

* Address correspondence to Dr Gurevitch, Department of Thoracic and Cardiovascular Surgery, Carmel Medical Center, 7 Michal St, Haifa, Israel (Email: nettag{at}barak-online.net).

The tangential K graft is a comfortable surgical technique aiming to increase cardiac surgeons' versatility in performing multiple arterial grafting using only two arterial conduits. One end of the free graft—either the right internal thoracic artery (RITA) or the radial artery (RA)—is attached to a marginal circumflex branch. Its other end is anastomosed end to side to a diagonal branch. After the left internal thoracic artery (LITA) is attached to the left anterior descending coronary artery, a wide-open side-to-side LITA to free RITA or RA anastomosis—resembling the letter K—is constructed.




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 Ann. Thorac. Surg.Home page
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Ann. Thorac. Surg., May 1, 2007; 83(5): 1911 - 1912.
[Abstract] [Full Text] [PDF]


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