The study is to determine the effect and outcomes of single vs multiple arterial revascularization forpatients undergoing coronary artery bypass surger

Not Applicable

Conditions: Health Condition 1: I70-I79- Diseases of arteries, arterioles and capillariesHealth Condition 2: O- Medical and Surgical

Recruitment & Eligibility

Inclusion Criteria

Male or female aged between 18 Years to 70 Years(Adult, Older

Adult)

Primary isolated CABG patients with disease of the

left main coronary artery and/or of the left anterior descending and

the circumflex coronary system with or without disease of the right

coronary artery

Able to provide written informed

consent

Exclusion Criteria

Age > 70 years

Single graft

Emergency operation

Evolving myocardial infarction within 48 hours of surgery

Left ventricular ejection fraction of less than 35%

Any concomitant cardiac or non-cardiac procedure

Previous cardiac surgery

Preoperative severe end-organ dysfunction (dialysis, liver failure,

respiratory failure), cancer or any co-morbidity that reduce life

expectancy to less than 5 years

Inability to use the saphenous vein or to use both radial and right

internal thoracic arteries

Anticipated need for coronary thrombo-endarterectomy

Planned hybrid revascularization

Not able to provide written informed consent

Primary Outcome Measures

Name	Time	Method
Composite Outcome <br/ ><br>A composite of death from any cause, any <br/ ><br>stroke, post discharge myocardial infarction <br/ ><br>and/or repeat revascularizationTimepoint: Time Frame: more than 72 hours after surgery <br/ ><br>and/or repeat revascularization

Secondary Outcome Measures

Name	Time	Method
1. 30-day mortality -Death from any cause at <br/ ><br>30-days <br/ ><br>2. Major postoperative complications <br/ ><br>3. Sternal wound complication <br/ ><br>4. Composite Outcome of Death from any cause <br/ ><br>5. Stroke <br/ ><br>6. Cause-specific death (cardiac vs non-cardiac) <br/ ><br>7. Hospital readmissionsTimepoint: 30days to 5 years