Which of the following best describes the goal of complete revascularization?

• A. Use of only arterial grafts
• B. Revascularization of all significantly diseased territories with grafts
• C. Limit to ventricular function assessment
• D. Move quickly through surgery

Answer: (B)

Complete revascularization means restoring blood flow to every myocardial region that has a significant flow-limiting coronary lesion by bypassing those arteries with grafts. The aim is to perfuse all affected territories so angina is relieved, symptoms improve, and long-term outcomes are optimized. It’s not about using only arterial grafts, nor is it about a quick or limited assessment of ventricular function; rather, it focuses on addressing all regions at risk due to meaningful coronary disease. If a territory has a significant lesion that threatens enough myocardium to cause ischemia, the goal is to bypass it.