Axillary artery-to-coronary artery bypass using reversed saphenous vein provides a simple method of applying the minimally invasive coronary bypass grafting procedure when the internal thoracic artery is not an adequate conduit, Although this may allow extended use of the minimally invasive coronary bypass procedure, the long-term patency of this technique is unknown. (C) 1997 by The Society of Thoracic Surgeons.