Mankar khan 50 Yr old male chronic smoker non hypertensive non diabetic was admitted in bhopal multispeciality hospital with chief complaints of chest pain, orthopnea, dysnea on exertion. cardiac catheterization and angiography report revealed 100 stenosis of LAD, Ramus 90% stenosis, LCX mild plaque. considering presence of TVD patient was adviced Cabg. patient had undergone successful Cabg on 19 Nov 2023. post surgery over the course of treatment he was gradually weaned off from the ventilator. patient has recovered well and he is being discharged in a hemodynamically stable condition from hospital.