Abstract
A 67-year-old man had ischemic cardiomyopathy. He had New York Heart Association class III heart failure with pleural effusion. Further examinations revealed an enlarged left ventricle with markedly reduced ejection fraction (6.2%) and 3-vessel coronary disease. He underwent single coronary bypass grafting, using the gastroepiploic artery (GEA) to RCA without cardiopulmonary bypass. He showed a remarkable improvement of cardiac function. He was discharged from our hospital (NYHA class I) on the 40th postoperative day and lives an almost normal life now. Coronary artery bypass grafting without cardiopulmonary bypass is one of the useful surgical techniques for patients with ischemic severe left ventricular dysfunction.
