We describe the long-term results of a case of complete myocardial revascul
arization with arterial conduit employing also lateral costal artery (LCA).
A fifty-four-year-old man underwent revascularization with the implant of
right internal artery mammary (RIMA) on the second portion of the right cor
onary artery (RCA), of the left internal mammary (LIMA) on the left artery
descendent (LAD) and of LCA on the obtuse marginal arteries. The postoperat
ive course was uneventful and a twelve-month postoperative coronary angiogr
aphy showed arterial conduits to be functioning well. LCA is another source
for complete myocardial revascularization with arterial conduits.