• Kamales Kumar Saha, Mandar M Deval, Shekhar Ambardekar, Ajay Kumar, and Kakalee K Saha.
• Fortis S L Raheja Hospital, Raheja Rugnalaya Marg, Mahim West Mumbai, Maharashtra, India. Electronic address: kamalessk@gmail.com.
• Indian Heart J. 2015 May 1; 67 (3): 262-5.

AbstractSurgical treatment of diffuse coronary artery disease remains challenging. We present here a diabetic patient, with diffuse coronary disease, revascularized using total arterial anaortic off-pump coronary artery bypass grafting. He received total nine distal grafts. He continues to be asymptomatic after more than 2 years. CT angiography follow-up shows eight out of nine grafts are patent. Anaortic off-pump coronary artery bypass grafting has the least incidence of stroke and arterial grafts have the best long-term patency rate. This is the first case report of nine arterial bypass graft performed off-pump using both internal mammary and both radial arteries. Anaortic total arterial off-pump coronary artery bypass grafting has achieved excellent intermediate term result in this patient of diffuse coronary artery disease. Copyright © 2015 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.

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