Coronary artery disese predominantly occur in the proximal segments of coronary artery.The fact that CAD is mainly a proximal disese , implies that clincal impact is likely to be more . But we now recognise distal coronary artery system is equally affected .But isolated distal CAD is a not a common finding .We describe our analysis on the topic .
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Dr.S.Venkatesan MD 
Sir what is the significance of isolated distal CAD? Is the management differ than proximal one? I couldn’t find much literature about distal CAD.