The “ω-Anastomosis”: a new revascularization technique for coronary bifurcations

We report the “ω-anastomosis,” a new technique permitting the revascularization of both coronary branches beyond a bifurcation by using a single arterial graft. This technique consists of a longitudinal incision in the main coronary artery, which extends to both coronary branches beyond the bifurcation. The arterial conduit’s distal extremity is cut vertically and tailored to produce a “bipetal” shape, which is used to enlarge and create an acceptable roof for both coronary branches beyond the bifurcation.