chennai a doctor team at saveetha institute of medical and technical sciences simats performed a complex surgery and saved a 48yearold woman who had multiple health issues a release said the patient had health issues including multivessel disease a critical blockage in one of the main blood vessels left anterior descending lad coronary artery uncontrolled diabetes hypertension an osteoporotic sternum a small left internal mammary artery small coronary vessels and a scar on the anterior wall from a previous heart attack during surgery the surgeon dr arun kumar and his team from saveetha institute of medical and technical sciences simats determined that bypassing the blockages in the lad and other vessels using the patients own internal mammary artery would not be possible due to the patients small internal mammary artery and the presence of multiple plaques instead the surgeon decided to use the saphenous vein blood vessels in the legs as the bypass conduit and performed the surgery offpump the patient was transferred to the postoperative intensive care unit with minimal inotropic support inotropic support refers to the use of drugs to increase the strength of the hearts contractions which is used to support the hearts pumping function the minimal inotropic support may indicate that the patients heart function is stable and that her condition is stable after the surgery