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Aorto-coronary bypass via the oblique sinus.

When the radial artery is used as a conduit for the postero-lateral branches, simple aorto-coronary bypass is sometimes impossible in a hypertrophic heart because of its limited length. Passing the graft through the oblique sinus, and making the proximal anastomosis on the right side of the ascending aorta, the postero-lateral branches can be revascularized with a short graft even for a dilated heart.