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Objective To examine the outcome of off-pump coronary artery bypass (OPCA in elderly patients with left ventricular dysfunction. Methods From June 2008 to July 2016, 252 patients aged over 80 years underwent isolated OPCAB at Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, these patients' data were collected. The left ventricular dysfunction group (ejection fraction (EF) 35% to 50%) was comprised of 31 patients aged (82.0±2.1) years (range 80 to 88 years), including 25 males and 6 females. T