Coronary artery bypass grafting, a proven procedure for treating coronary artery disease, has a 5-year patency rate of about 80% and a 10-year patency rate of about 60%. In other words, macroscopically, after 10 years of bypass, there are about 40% of patients, the venous bridge is no longer patency and can not continue to use. Recently, our department successfully performed a second coronary artery bypass graft for a patient more than 10 years after bypass. The difficulty of this operation was that after entering the chest again, extensive adhesions had occurred inside and the anatomical structure was blurred, making separation difficult. The incision of the last surgery can be clearly seen in the picture above Considering the blow to the patient’s body, we chose to perform a second bypass with a more complicated operation, without stopping the beating heart. During the operation, three bridges were re-established to give new energy to the patient’s heart. The patient recovered well after the operation and is now discharged from the hospital.