The accumulated evidence suggests the long-term 
superiority of using BIMA vs single mammary artery 
(SIMA) in CABG patients. However, the impact of 
harvesting both IMAs on sternal healing cannot be 
disregarded, especially with other risk factors, 
notably diabetes mellitus. This study aims to assess 
the feasibility of BIMA in diabetic patients 
undergoing CABG, bearing in mind the technical 
considerations that mitigate sternal wound 
dehiscence risks.