No significant difference in primary endpoints was evident between the PCI group and the medical therapy group. No difference in survival rate between those undergoing CABG and those receiving only medical therapy was noted. Acute MI occurred less often in those assigned to CABG plus intensive medical therapy than in those given intensive medical therapy alone (10% versus Hillis et al 2011 ACCF/AHA CABG Guideline e695 17.6%; P 0.003), and the composite endpoints of death or MI (21.1% versus 29.2%; P 0.01) and cardiac death or MI also occurred less often.1176 Compared to those selected for PCI, the CABG patients had more 3-vessel CAD (52% versus 20%), more totally occluded arteries (61% versus 32%), more proximal LAD artery stenoses 50% (19% versus 10%), and a higher myocardial jeopardy score. Elevated fasting blood glucose concentrations before CABG and persistently elevated glucose concentrations af- terward are associated with increased risk of morbidity and mortality.592,1177,1178 The complications most closely linked to postoperative hyperglycemia are infections, including deep sternal wound infection and mediastinitis. Achieving glyce- mic control perioperatively in patients with diabetes de- creases this risk.581,593 Because the risk of deep sternal wound infection in patients with diabetes is increased when both IMAs are harvested and used, bilateral IMA grafting is not recommended in this patient cohort unless the overall benefit to the patient outweighs this increased risk.957 6.4. Anomalous Coronary Arteries: Recommendations Class I 1. Coronary revascularization should be performed in patients with: a. A left main coronary artery that arises anoma- lously and then courses between the aorta and pulmonary artery.1179 1181 (Level of Evidence: B) b. A right coronary artery that arises anomalously and then courses between the aorta and pulmo- nary artery with evidence of myocardial ische- mia.1179 1182 (Level of Evidence: B) Class IIb 1. 