Revascularization of the proximal circumflex coronary artery

In complex coronary bypass procedures it is often desirable to target the left circumflex coronary distribution at a site other than the obtuse marginal and terminal branches. Reluctance to bypass into the circumflex artery in the atrioventricular groove is due to difficulty in exposure and possible injury to the coronary sinus. Herein is presented our technique for exposure and anastomosis into the proximal circumflex artery, which avoids these pitfalls. This technique has been consistently simple to perform with excellent results.