Preface

This book, "The Current Perspectives on Coronary Artery Bypass Grafting", is an excellent update for health care professionals taking care of patients suffering from severe coronary artery disease. The nine chapters in this book were written by experts in their fields.

The first section describes the hemodynamic mechanism and medical management of coronary artery disease. Chapter 1 discusses the most recent evidence in treating multivessel coronary artery disease and left main coronary artery disease. The author provided a good discussion on the pros and cons of percutaneous coronary intervention versus coronary artery bypass grafting. Chapter 2 and Chapter 4 describe the arterial stiffness and medical therapy in mitral regurgitation associated with coronary artery disease. Chapter 3 gives us a review of antiplatelet therapy after coronary artery bypass grafting. The role of double antiplatelet therapy for percutaneous coronary interventions is well established, whereas its role after surgery remains controversial.

The second section describes technical aspects of coronary artery bypass grafting. Chapter 5 and Chapter 9 describe the technical tips and tricks in surgical anastomosis. These chapters show us a variety of surgical techniques in anastomosing small vessels. Cardiac surgeons should be familiar with multiple anastomotic techniques. Chapter 6 discusses the risk factors that affect early and late survival after coronary artery bypass grafting. Chapter 7 and Chapter 8 discuss the utilization of right internal mammary graft in coronary artery bypass grafting. The benefit of left internal mammary artery graft is well established, whereas the benefit of right internal mammary artery graft remains controversial because of possible increase of sternal infection.

In conclusion, I believe this book will provide health care professionals with the most updated information in the field of surgical intervention for severe coronary artery disease.

**II**

**Chapter 7 121**

**Chapter 8 129**

**Chapter 9 143**

Should We Do Bilateral Internal Mammary Artery Grafting

*by Hassane Abdallah, Ahmed Ibrahim and Khalid Al Khamees*

Right Internal Thoracic Artery with an Anteroaortic Course

Tips and Tricks in Microvascular Anastomoses

*by Maurilio O. Deininger, Orlando G. Oliveira, Daniel M.S. Magalhães* 

in Diabetic Patients?

*and Eugenia Di G. Deininger*

*by Sharifah Ahmad Roohi*
