Patient, female, 65 years old, Shanxi, preoperative diagnosis of moderate aortic valve closure insufficiency, three branch vasculopathy, type 2 diabetes mellitus, operated under general anesthesia extracorporeal circulation on 2013.3.6, left internal mammary artery-anterior descending branch bypass, ascending aorta-saphenous vein-diagonal branch-return branch sequential bridge, aortic valve bioprosthesis, operation 5 hours, smooth, preoperative high blood glucose, postoperative insulin pumping, 2 hours measurement The insulin dose was adjusted by blood glucose measurement at 2 hours, and the incision healed at stage I. He was discharged on the ninth postoperative day. Multi-branch coronary artery bypass graft combined with other cardiac surgery, only a few cardiac centers in China can carry out this type of surgery, in Beijing Anzhen Hospital cardiac surgery ward 10 this specialized group has become a routine surgery, about 10% of coronary artery bypass graft, the success rate of surgery is high, more than 95% of patients healed. Song Shiqiu, Cardiac Surgery Center, Beijing Anzhen Hospital