Study of Surgical Management of diffusely diseased coronary arteries in Rural Maharashtra Population

Abstract

Background: Diffuse coronary Artery disease (CAD) is a surgical challenge because 
coronary artery bypass graft (CABG) in diffuse CAD may result into incomplete re
vascularisation and high chances of early graft occlusion due to poor distal flow may lead to 
perioperative morbidity and mortality. 
Method: 480 (four hundred Eighty) patients underwent long segment coronary anatomises 
for diffuse CAD with either left internal thoracic artery (LITA) or saphenous vein conduits. 
In 180 (37.5%) patients the anastamosis length was more than 4 cm 240 (50%) patients were 
operated off-pump and rest were operated on cardio pulmonary bypass. Mortality was 2% 
due to cerebro-vascular accident.