* The case series included male patients with severe triple vessel disease, revealing varying degrees of SAS and performing total arterial revascularization with a successful average of 3.5 distal grafts per patient.
* The RIMA-LIMA-Y configuration used for grafting proved to be safe, with all patients experiencing an uneventful recovery and being asymptomatic at a 6-month follow-up, emphasizing the crucial role of CT angiography in detecting SAS.