ABSTRACT
We report the first case of off-pump complete myocardial revascularization through antero-lateral thoracotomy [Thora-CAB] in Middle-East. 69 year old gentleman having angina pectoris for last three years with severe double vessel disease involving the left anterior descending artery [95% proximal lesion] and the circumflex system [80% mid circumflex lesion with significant osteal disease in obtuse marginal] and insignificant disease in right coronary artery with moderate left ventricular impairment underwent Thora-CAB, Post-operatively, he had minimal pain, quick symptomatic improvement and no complications. He was discharged home on 5th post-operative day. This indicates that the thoracotomy approach is safe and practical for CABG. It is well tolerated hemodynamically with no/minimal post-operative morbidity