03 - How to do a "Y" anastomosis

Pedicled internal right mammary artery can reach the left anterior desending artery and the right coronary artery at best. To reach all the arteries of the coronary network, the right mammary artery is harvested as a free graft and sutured to the internal left mammary artery. Once the assembling has been performed, the Y-shaped mammary junction accounts for what is commonly called "the Y- graft".

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