Type of Surgery

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Doctor Certified

Last updated: 11/24/2009

Morbidity/Mortality

The risk of death during coronary artery bypass graft surgery is 2–3%.

In 5–10% of coronary artery bypass graft surgeries, the bypass graft stops supplying blood to the bypassed artery within one year. Younger people who are healthy except...

for the heart disease achieve good results with bypass surgery. Patients who have poorer results from coronary artery bypass graft surgery include those over the age of 70, those who have poor left ventricular function, are undergoing a repeat surgery or other procedures concurrently, and those who continue smoking, do not treat high cholesterol or other coronary risk factors, or have another debilitating disease.

Over the long term, symptoms recur in only about 3–4% of patients per year. Five years after coronary artery bypass graft surgery, survival expectancy is 90%, at 10 years it is about 85%, at 15 years it is about 55%, and at 20 years it is about 40%.

Angina recurs in about 40% of patients after 10 years. In most cases, it is less severe than before the surgery and can be controlled with drug therapy. In patients who have had vein grafts, 40% of the grafts are severely obstructed 10 years after the procedure. Repeat coronary artery bypass graft surgery may be necessary, and is usually less successful than the first surgery.


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Provides an overview of the circulatory system including the blood vessels that supply the heart. When these coronary arteries become blocked, the vessels need to be bypassed with other blood vessels. The animation describes a coronary artery bypass graft surgery or CABG.

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During a coronary artery bypass graft (CABG), the chest is opened to visualize the heart (A). A heart-lung machine takes over the function of the heart during the procedure. A portion of the saphenous vein of the leg is removed (B). This vessel is used to bypass a blockage of the coronary artery. It is attached from the aorta past the point of blockage (C). Another option is to bypass a blockage with the mammary artery (D). The bypass increases blood flow to the area served by the coronary artery (E). (Illustration by Argosy.) During a coronary artery bypass graft (CABG), the chest is opened to visualize the heart (A). A heart-lung machine takes over the function of the heart during the procedure. A portion of the saphenous vein of the leg is removed (B). This vessel is used to bypass a blockage of the coronary artery. It is attached from the aorta past the point of blockage (C). Another option is to bypass a blockage with the mammary artery (D). The bypass increases blood flow to the area served by the coronary artery (E). (Illustration by Argosy.)




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Other Information

Coronary artery bypass surgery, also coronary artery bypass graft surgery, and colloquially heart bypass or bypass surgery is a surgical procedure performed to relieve angina and reduce the risk of death from coronary artery disease. Arteries or veins from elsewhere in the patient's body are grafted to the coronary arteries to bypass atherosclerotic narrowings and improve the blood supply to the coronary circulation supplying the myocardium (heart muscle). This surgery is usually performed with the heart stopped, necessitating the usage of cardiopulmonary bypass; techniques are available to perform CABG on a beating heart, so-called "off-pump" surgery.


From http://en.wikipedia.org/wiki/Coronary_artery_bypass_surgery

Other Information

From 1979–2005, the total number of inpatient cardiovascular operations and procedures increased 484 percent to 6,989,000 annually. (AHA computation.)


From: AHA computation

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