Fig 4. 3D reconstruction depicting atretic ostium left coronary artery and tortous left anterior descending
Following further multi-disciplinary discussion, the patient was offered off-pump coronary artery bypass grafting.
The patient received a left internal mammary-to-LAD graft and a saphenous vein graft to the posterior descending artery. The postoperative recovery of the patient was uneventful and he was discharged home with complete resolution of his angina symptoms.