ABSTRACT
Twenty-eight patients [93% males and 7% female with an age ranged between 47 and 61 years with a mean of 53.5 +/- 3.7] were included in this study. Five patients had unstable angina, while 25 had stable angina. The internal mammary artery was used in 25 cases and all branches of coronary arteries were bypassed with an average of 2.9 +/- 0.7% grafts per patient [range 2-4]. The initial experience of coronary artery bypass grafting [CABG] without CPB was described using a median sternotomy, the evolution of surgical technique was analyzed and the early clinical results were assessed. It was concluded that this type of surgery is an alternative in the treatment of coronary disease, especially for aged patients with associated disease and can improve the relation cost/benefit