Off-pump coronary revascularization using local stabilizing devices arid le
ss invasive methods are getting more interest with good results. To our kno
wledge we report the first operation of which concomitant coronary revascul
arization using "Octopus'" device and thoracoabdominal aneurysm repair has
been done without extracorporeal circulation with successful outcome. Repai
r of the aorta and patency of the descending aorta to coronary saphenous by
pass graft were showed with angiography at postoperative 6 month.