Background This study was conducted to examine the mid-term results of the skeletonized gastroepiploic artery(GEA) used as a composite graft for total arterial revascularization through angiographic assessment. Methods This study included 148 patients (46 females, mean age of 61.6짹8.2 years) who had undergone coronary arterial bypass graft (CABG) with the skeletonized left internal thoracic artery (LITA) and the skeletonized GEA as composite grafts from Jan. 2000 through Mar. 2006. Postoperative angiography was performed immediately (average 14 days, 105 cases, 72.4%), early (average 350 days, 86 cases, 62.8%) and mid-term period (average 35 months, 71 cases, 51.8%). Except for 16 cases, all the other patients underwent Off-pump CABG. The average duration of follow-up observations was 40.1짹6.8 months (10-85 months) Results The in hospital mortality was 2.0% (3/148 cases). There were 8 cases for which GEA harvesting was possible despite previous abdominal surgery prior to surgery. Patencies of the LITA and GEA shown on angiography performed immediately after surgery were 97.2% (105/108) and 97.4% (190/195), respectively. In the early postoperative period, patencies of the LITA and GEA were 96.6% (84/87) and 94.1% (174/185), respectively. In the mid-term postoperative period, patencies of the LITA and GEA were 95.8% (68/71) and 93.7% (133/142). 6 patients underwent percutaneous coronary intervention during the follow-up observations and a total of 8 patients expired in association with heart disease. Conclusions Satisfactory clinical and angiographic results were obtained with skeletonized GEA as a composite graft used for total arterial revascularization.