Off-Pump Coronary Artery Bypass (OPCAB) for Acute LMCA - LAD Dissection due to Blunt Chest Trauma: A Case Study

A 55-year-old male presented with multiple injuries including blunt chest trauma following a road traffic accident. Electrocardiogram showed acute extensive anterior wall myocardial infarction. Echo-cardiogram revealed mildly dilated left ventricle with left ventricular ejection fraction of 25%. Coronary angiogram showed acute left main coronary artery-left anterior descending artery dissection. Due to multiple associated injuries and severe head injury the patient was not amenable for angioplasty, which directed us to perform emergency off-pump coronary artery bypass grafting.