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A Technical Failure Changes a Y-graft into a C-conduit Causing Steal Syndrome

The National Heart and Lung Institute, Imperial College of Science, Technology and Medicine, Harefield Hospital, Middlesex, United Kingdom

For reprint information contact: Sharif Al-Ruzzeh, PhD Tel: 44 796 802 5332 Fax: 44 148 288 1657 Email: sharifalruzzeh{at}hotmail.com, 18 Fielding Way, Leeds LS27 9AB, United Kingdom.

Y-grafting is a common coronary grafting technique for performing composite coronary grafts. The outcome and efficacy of this technique have not been studied in detail in the literature. We report a case of an occlusion in the proximal limb of a Y-graft, changing it into a C-shaped conduit and causing a steal syndrome. Our aim is to raise the level of caution when performing this type of composite graft and to suggest how this complication can be managed postoperatively.