Abstract

Introduction: Techniques of coronary artery revascularisation on the beating heart have evolved with an attempt to reduce the potential deleterious effects of extracorporeal circulation. It is of particular value in those with a calcified or atheromatous ascending aorta. Total arterial revascularisation is ideal. Case report: We describe a case of 66 year-old male patient, previously suffered mild cerebrovascular incident, schedueled for myocardial revascularisation of double coronary disease with Left main stenosis. Method: Sternotomy was done in standard fashion. Both mamary artery were harvested and distal anastomoses were made in standard fashion by Prolen 8/0. For local stabilisation Medtronic Octopus vaccum stabiliser was used. Discussion: Feasibility to perform arterial revascularistion by using off-pump aorta no-thouch techniqe (anaortic technique) on the patient previously suffered stroke and with increasd risk of the same complication was presented. This technique is recommended whenever technically feasible.

Key words: cerebrovascular incident, coronary disease, stenosis, anaortic technique.