Off-Pump Total Arterial Three-Vessel Coronary Artery Bypass in a Pregnant Woman

A 37-year-old woman underwent off-pump triple-vessel total arterial revascularization in her 27th week of pregnancy. She was diagnosed to have ischemic heart disease along with type 2 familial hypercholesterolemia with chest pain and orthopnea at rest. She underwent grafting to the left anterior descending, obtuse marginal, and posterior descending arteries by the left internal mammary artery-right internal mammary artery-Y technique. Postoperative recovery was uneventful, and the baby was delivered uneventfully after an elective cesarean section at 36 weeks.