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For such a 52-year-old male patient with a history of mediastinitis, we performed redo bypass grafting of the right coronary artery using a saphenous vein graft and xiphoid resection via the suprasternal route with the left axillary artery as the inflow source and the graft were patent. The axillary artery is an inflow source for patients with inaccessible aorta. Combining the suprasternal route with a xiphoid resection provides a bail-out option.<\/jats:p>","DOI":"10.1177\/02184923241301109","type":"journal-article","created":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T05:07:04Z","timestamp":1732511224000},"page":"481-483","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Axillary\u2013coronary artery bypass using a vein graft via the suprasternal route"],"prefix":"10.1177","volume":"32","author":[{"given":"Hideki","family":"Isa","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8085-9610","authenticated-orcid":false,"given":"Masahiro","family":"Tsutsui","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fumitaka","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryohei","family":"Ushioda","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7451-5264","authenticated-orcid":false,"given":"Shingo","family":"Kunioka","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Kamiya","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,11,25]]},"reference":[{"key":"bibr1-02184923241301109","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1016\/S0003-4975(97)01276-9","volume":"65","author":"Coulson AS","year":"1998","journal-title":"Ann Thorac Surg"},{"key":"bibr2-02184923241301109","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2007.03.046"},{"key":"bibr3-02184923241301109","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2004.10.031"}],"container-title":["Asian Cardiovascular and Thoracic Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02184923241301109","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02184923241301109","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02184923241301109","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:28:51Z","timestamp":1777404531000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02184923241301109"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":3,"journal-issue":{"issue":"8-9","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1177\/02184923241301109"],"URL":"https:\/\/doi.org\/10.1177\/02184923241301109","relation":{},"ISSN":["0218-4923","1816-5370"],"issn-type":[{"value":"0218-4923","type":"print"},{"value":"1816-5370","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11]]}}}