CABG is the most common cardiovascular surgery done world wide .
When the ventricle is dilated it is a common practice to do a ventricular reduction surgery.
It was a logical to expect benefit when we correct the adverse remodelling of heart that aoccur following an MI.
The STICH trial compared plain CABG with ventricular reconstruction and reduction .
Unfortunately , in medicine , the logics often fail as this study found no mortality advantage .
Dr.S.Venkatesan MD 
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