Sequential coronary grafting

Sequential distal grafting is a surgical technique in which a single conduit has two or more distal anastomosis for a single proximal anastomosis; in situ sequential arterial grafts may have no proximal anastomosis. Proponents of this method suggest that there is increased total graft flow due to improved distal run-off in sequential grafts, which leads to better graft patency over time, and that sequential grafting is more efficient in terms of conduit use, and reduces the amount of aortic manipulation during surgery.