[Coronary artery bypass grafting for a patient with effort angina pectoris and apical hypertrophic cardiomyopathy: case report].

A sixty-five year old man, known to have had apical hypertrophic cardiomyopathy (APH) since 1981, presented worsening of angina pectoris. Severe triple coronary artery disease was diagnosed and referred to our department for surgery. He underwent quintruple coronary artery bypass grafting (CABG) with left internal thoracic artery, left radial artery and saphenous veins. The cardiac index increased from 2.9 to 3.4 l/[symbol: see text]/m2 postoperatively. To our knowledge, this was the second case of CABG for APH in the world.