Coronary artery surgery in an indigenous Papua New Guinean male

The first case of coronary artery surgery in an indigenous Papua New Guinean male subject is described. A 42-year-old male with multiple risk factors developed two episodes of myocardial infarction. Coronary arteriography demonstrated severe obstructive disease in all three coronary arteries with moderate left ventricular dysfunction. Prognostic coronary revascularization was performed, with placement of four bypass grafts with six distal anastomoses. Recovery was largely uncomplicated. Maximal exercise test 6 months postoperatively showed normal exercise capacity with no evidence of ischaemia. He is pursuing an intensive program of risk factor management.