Fig. 1

Dissection of the right coronary artery and anastomosis to the aorta. A Adequate mobilisation of the right coronary artery distal to its intramural origin (white arrow). B Two clips are placed close to the proximal end and the artery is divided, ensuring maximum length available for anastomosis. C Right coronary artery clipped as distal as possible, close to intramural origin, to allow for maximum length for anastamosis to the aorta. D Right coronary artery divided proximal to the clip. Side biting clamp applied to the aorta. 4.0mm aortic punch used for anastomosis. E End-to-side anastomosis performed using 7.0mm prolene. F The final tension-free anastomosis