Importance of Extubation Stress following Off-pump CABG

Background: Coronary artery bypass grafting (CABG) is a frequently performed surgery worldwide. The classical coronary bypass surgery performed with the heart stopped and using heart-lung machine is called as on-pump CABG, whereas the coronary bypass surgery performed without stopping the heart or using heart-lung machine is called as off-pump CABG. It is thought that generally respiratory complications can occur during extubation stress in the patients undergoing off-pump CABG performed with fast-track protocol. Case Report: We report a 56 year old patient with 75% stenosis in left anterior descending and circumflex artery. He developed bradycardia after coronary artery bypass grafting by offpump technique. His repeat angiography showed stenotic right coronary artery after than it was corrected by percutaneous transluminal coronary angioplasty and stent implantation Conclusion: The probability of development of different clinical situations should be kept in mind and the patient should be re-explored without hesitating in case of any hemodynamic instability. Herein, I intended to discuss a different specific case.