We report a new strategy of total arterial revascularization based on bilat
eral internal thoracic arteries (ITAs) and a radial artery (RA). The techni
que employs a graft extension of the proximal third of the right internal t
horacic artery (RITA) with the RA, in combination with the T-graft techniqu
e, by which the lower two-thirds of the free RITA is anastomosed to the sid
e of the left internal thoracic artery (LITA). (Ann Thorac Surg 1999;67:118
6-7) (C) 1999 by The Society of Thoracic Surgeons.