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However, up to one-third of patients experience recurrence. Cardiac surgery patients often need inotropic support to establish hemodynamic stability and adequate oxygen supply. The management of patients with coronary vascular disease can be challenging especially in patients with severe left ventricular dysfunction and critical left main or severe triple vessel disease. Article has descriptive character and presents a case report of 58 years old male patient who was admitted to our hospital due to planned coronary byp