Women aged 18 years or older and younger than 75 years, undergoing isolated and primary myocardial revascularization surgery, with triarterial coronary artery disease (three vessels involved) in vessels subject to surgical revascularization and left ventricular ejection fraction greater than 35%. The target coronary vessels of the study will be those in the territory of the left circumflex artery and the right coronary artery, which must have at least 1.5 mm in diameter, and with proximal obstructive lesions of at least 70%.
You may not be if
1. Preoperative conditions:
1. Lack of the patient's written informed consent.
2. Presence of poorly controlled diabetes, with a glycated hemoglobin value \>8 mg/dl.
3. Emergency or salvage surgery, where the intervention needs to be performed quickly due to the critical clinical condition of the patient.