Coronary artery bypass surgery indications

Coronary Artery Bypass Surgery Microchapters
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Overview
Pathophysiology
Saphenous Vein Graft Disease
Other Non-Atherosclerotic Saphenous Vein Graft Diseases
Indications for CABG
Prognosis
Diagnosis
Imaging in the Patient Undergoing CABG
Chest X Ray
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Goals of Treatment
Perioperative Management
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Pulmonary Artery Catheterization
Central Nervous System Monitoring
Surgical Procedure
Anesthetic Considerations
Intervention in left main coronary artery disease
The Traditional Coronary Artery Bypass Grafting Procedure (Simplified)
Minimally Invasive CABG
Hybrid coronary revascularization
Conduits Used for Bypass
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Anomalous Coronary Arteries
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-in-Chief: Cafer Zorkun, M.D., Ph.D. [2], Mohammed A. Sbeih, M.D. [3]

Overview

CABG is the preferred treatment with:

• Disease of the left main coronary artery (LMCA). LMCA disease is associated with sudden death; therefore, lesions of the LMCA are sometimes referred to as widow makers.
• Disease of all three coronary vessels (LAD, LCX and RCA).
• Diffuse disease not amendable to treatment with a PCI.
• CABG is the likely the preferred treatment with other high-risk patients such as those with severe ventricular dysfunction (i.e. low ejection fraction), or diabetes mellitus patients, particularly those with disease involving the left anterior descending artery.

Alternative treatments for coronary artery disease include:

• Medical management (statins, antihypertensives, smoking cessation, tight blood sugar control in diabetics).
• Percutaneous coronary intervention (PCI)-Both PCI and CABG are more effective than medical management at relieving symptoms, (e.g. angina, dyspnea, fatigue), but repeat procedures are required more frequently after PCI.

Surgery Indications

• You can read in greater detail about each of the indications for CABG below in greater detail by clicking on the link.

CABG in Patients with Acute MI | CABG in Patients with Ventricular Arrhythmias | Emergency CABG after Failed PCI | CABG in Association with Other Cardiac Procedures | Heart Team Approach to Revascularization Decisions | Revascularization of Left Main CAD to Improve Survival | Revascularization of Non-Left Main CAD to Improve Survival | Revascularization to Improve Symptoms