On August 4, the Department of Cardiac Surgery successfully completed the first case of total arterial coronary artery bypass grafting surgery in this hospital. The patient, a 50-year-old middle-aged woman, also underwent aortic valve mechanical valve replacement at the same time, and the two major diseases that threatened her health and life were successfully removed through a single surgery. The patient underwent coronary stent implantation more than a year ago due to “coronary heart disease and angina pectoris”. However, his angina pectoris attacked again recently. The doctor performed a coronary angiogram and found that a major blood vessel supplying blood to his heart and the original stent had both developed severe stenosis. In this case, stent implantation was no longer an option, and coronary artery bypass grafting was necessary to save his life. During the pre-operative examination, the cardiac surgeon also found that the patient also suffered from moderate aortic valve insufficiency, which, if left untreated, would increase the degree of myocardial ischemia and have an irreversible effect on heart function. Prior to the surgery, the cardiac surgeons organized several group discussions to discuss the most prudent surgical plan. Conventional coronary artery bypass grafting uses the internal thoracic artery and the saphenous vein of the leg as the source of the bridging vessel, while a large number of clinical studies at home and abroad have confirmed that the use of the arterial vasculature as the bridging vessel can maintain good patency for more than 15 years, whereas the patency of the venous bridging vessel will be significantly reduced after 10 years. Considering the young age of the patient and his long life expectancy, the cardiac surgeons proposed a total arterial bypass in this patient, using the internal thoracic artery and the radial artery of the left forearm as the bridging vessels. By using a total arterial bypass, the efficacy of this surgery can be maximized, avoiding a second surgery and reducing the pain and medical investment for future patients. At the same time, in order to ensure the long-term outcome of the surgery and the patient’s long-term quality of life, the cardiac surgeons also decided to perform aortic valve replacement at the same time, so that the patient’s heart disease can be completely cured. After completing thorough preoperative preparations, the patient was wheeled into the operating room. After nearly 6 hours of hard work, the cardiac surgery team successfully completed the coronary artery bypass grafting and aortic valve replacement. After the operation, the patient recovered smoothly, with stable cardiac function and vital signs, and has been taken off the ventilator and transferred to the general ward. By coincidence, on August 6, the Department of Cardiac Surgery successfully performed a total arterialization coronary artery bypass grafting for a male patient in his 50s, and the results of the operation were encouraging. In recent years, with the change of public lifestyle, more and more people in their 50s and 60s are joining the ranks of patients with coronary heart disease. Due to their long life expectancy, the long-term efficacy of the existing coronary stenting and coronary artery bypass grafting using the saphenous vein cannot satisfy the needs of such patients. Currently, it is internationally recognized that total arterial coronary artery bypass grafting has the highest long-term vascular patency rate. Therefore, for patients with severe coronary heart disease under 55 years of age, timely acceptance of total arterial coronary artery bypass grafting is the best way to improve myocardial blood supply, protect cardiac function, ensure long-term efficacy, and avoid reoperation.