%0 Journal Article %T Anaortic Off-Pump Complete Arterial Revascularization Using Composite LIMA RIMA Y Sequential 5 Grafts in a Patient with Triple Vessel Disease Performed in a Low Resource Country: A Case Report %A Asraful Hoque %A Romena Rahman %A Abu Shadat Mohammad Saem Khan %A Md. Abdullah Yusuf %A Muhammad Asif Ahsan Chowdhury %A Imran Ahmed %A Wahida Salam %A Md. Monzur Hossain %A Tanvir Hossain %J World Journal of Cardiovascular Surgery %P 125-132 %@ 2164-3210 %D 2021 %I Scientific Research Publishing %R 10.4236/wjcs.2021.1112016 %X The use of bilateral internal thoracic arteries to treat coronary artery disease is very less despite of improved long-term survival. In this case report, a patient presented with TVD has been managed with anaortic off-pump complete arterial revascularization (OPCABG) by using composite LIMA RIMA Y Sequential 5 grafts to achieve complete arterial revascularization successfully. This type of operative procedure is technically difficult in a resource poor country like Bangladesh. However, this has been done by a group of young cardiac surgeon. During follow up, the patient is in a good condition. %K Anaortic %K Off-Pump %K Complete Arterial Revascularization %K Composite LIMA RIMA Y Sequential 5 Grafts %K Triple Vessel Disease %K Low Resource Country %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=114260