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Cardiothoracic Surgery

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Inclusion Criteria

  1. Primary isolated CABG patients with disease of the left main coronary artery or of the left anterior descending and the circumflex coronary system with or without disease of the right coronary artery.
  2. Coronary artery disease will be defined as a stenosis ≥ 70% based on coronary angiography, a FFR value ≤ 0.80 or iFr value ≤0.89; a left main diameter stenosis ≥ 50%, left main IVUS MLA value ≤ 4.5 mm2, or equivalent OCT measurements will also be considered.

Exclusion Criteria

  • Age >70 years
  • Planned single graft
  • Emergency operation
  • Preoperative myocardial infarction within 48 hours
  • Ejection Fraction (EF) < 35%
  • Any concomitant cardiac or non-cardiac procedure
  • Previous cardiac operation
  • Planned hybrid revascularization
  • Preoperative severe end-organ dysfunction (dialysis, liver failure, respiratory failure), cancer or any co-morbidity that reduces life expectancy to less than 5 years
  • Inability to use either the saphenous vein or both the right ITA and the RA as grafts
  • Anticipated need for coronary thrombo-endarterectomy

Weill Cornell Medicine Cardiothoracic Surgery

525 East 68th Street

Box 110 Suite M 404

New York, NY 10065


Mario F. L. Gaudino, M.D.

Phone: (212) 746-1815