Simultaneous off-pump coronary artery bypass graft surgery and wide glossectomy

Patients suffering with significant coronary artery disease undergoing elective noncardiac surgery may benefit by revascularisation prior to noncardiac surgery with high or intermediate risks. Alternatively, combined procedures can be performed. We describe the management of an anaesthetic patient suffering with significant coronary artery disease with left ventricular dysfunction and tumour of the tongue causing difficult intubation.