Bifurcated anastomosis is a technique wherein geometrically tailored flaps of a vein graft are anastomosed to an arteriotomy in a vessel and its two branches. Although this technique may be useful for the surgical management of any diseased arterial bifurcation, it is particularly valuable in coronary endarterectomy or when complete revascularization of a coronary artery with proximal and bifurcation disease would otherwise require three separate bypass grafts.