**8. Diffusely diseased coronary arteries**

The diffusely diseased coronary arteries have been a curse in the south East-Asian population, and more so in patients with Indian origin. This is seen in these patients in the younger age group and they are usually termed inoperable. The disease is so diffuse that grafting area in the coronary arteries are studded with plaques. We had developed our own technique of Vettath's technique of long mammary patch on LAD without endarterectomy on beating heart. We had performed this on more than 200 patients since the last 9 years. We have also published the same (Murali Vettath,2008 ) in couple of journals. In fact we have been reviewing these patients with coronary angiograms and the results have been quite gratifying.
