The use of arterial conduits in surgical treatment of coronary heart disease has been widely used. As we all know that saphenous vein graft occluded more than 50 per cent after 10 years. Most arterial conduits come from internal mammary artery, radial artery than been used for decades. Another arterial conduit, the right gastroepiploic artery (GEA), is now more popular among cardiac surgeons. This artery can be used along with other arterial conduit for "all arterial coronary bypass surgery" with better long-term patency. We reviewed the recent reports on GEA and to add on our experience on this subject.