SUMMARY:

A coronary artery bypass graft (CABG) is a heart bypass. The CABG procedure involves “bypassing” blood around blockages in the proximal coronary arteries.  CABG surgery frequently involves harvesting blood vessels from the chest, arm or leg to be used as conduits in the bypass, followed by coronary anastomosis. The procedure can be performed On-pump or Off-pump.

INDICATIONS:

  • Critical stenosis of the left main artery.
  • Severe angina that does not respond to medication.
  • Significant stenosis (> 60%) in at least one major coronary artery not amenable to PCI.
  • Significant stenosis of all three major coronary arteries.
  • Repeated angioplasty and repeated restenosis after angioplasty.
  • Blockage in a graft created in previous surgery.

CONTRAINDICATIONS:

  • Patients with coronary disease that’s amenable to PCI (stenting).
  • High risk based on medical condition for open heart surgery (i.e., severe COPD, renal failure, obesity, age).
  • CAD that is not amenable for bypassing.
  • Patients without significant left anterior descending artery (LAD) disease.

 

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