Background and objectives: Cardiac rehabilitation program (CRP) is a multidisciplinary strategy to help cardiac patients override the complications associated with cardiac disease. Patients following Coronary Artery Bypass Graft (CABG) face a critical complication that may affect their health-related quality of life and physiological outcomes, and these programs provide a better and faster recovery from cardiac surgery within the first weeks after surgery. This study reviews the impact of cardiac rehabilitation programs on the specific outcomes among CABG patients. Methods: In this systematic review the PRISMA-2020 guideline was used. Assessment of quality of the chosen studies, using the “Consolidated Standards of Reporting Trial (CONSORT)” and Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) checklist. Eligible studies were finally included in the literature review were 8 out of the 45 records identified, (from 2010-2021). Results: The cardiac rehabilitation program showed a consistent enhancement in health-related quality of life as a primary outcome and in the physiological variables as a secondary outcome. This study of a systematic review of experimental and non-experimental studies highlights the positive impact of this type of program on health-related quality of life and physiological variables of CABG patients. Conclusion: The results have significant implications in nursing research and practice, as the data offered can be used by the stakeholders and administrators of health institutions to improve their awareness of joining CRP in the routine care of CABG patients. KEYWORDS: cardiac rehabilitation programs, experimental study, health-related quality of life, physiological variables, systematic review.

We report a case of 66-year-old female patient who presented with unstable angina and New York Heart Association Class III symptoms. Transthoracic Echocardiogram demonstrated severe wall motion abnormalities in the anterior and inferior walls of the heart. Coronary angiography demonstrated a severely diseased right coronary artery and an anomalous left main coronary artery arising from the opposite coronary sinus and courses posterior to the aorta and runs between the aorta and the main pulmonary artery with severe multiple atherosclerotic disease. Patient underwent successful coronary artery bypass grafting and was dismissed in good general status.

Abstract Giant right coronary artery aneurysm is a rare coronary artery pathology. We describe a 45-year-old gentleman who presented with unstable angina of recent onset. Diagnostic work up including chest CT angiography and left heart catheterization demonstrated 3-vessel coronary artery disease with giant proximal right coronary artery aneurysm. In the view of the severity of the coronary artery disease and the risk of rupture associated with the giant right coronary artery aneurysm and the clinical presentation, patient was successfully treated by coronary artery bypass surgery. During this procedure, the right coronary artery aneurysm was ligated at both inflow and outflow. Patient recovered well and was discharged home.