Call Now: 1-866-633-8646
Get the Flash Player to see this player.
Coronary Artery Bypass Graft (CABG)
Coronary artery bypass surgery, also coronary artery bypass graft (CABG pronounced cabbage) 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.
Indications for CABG
Several alternative treatments for coronary artery disease exist. They include:
- Medical management (anti-anginal medications plus 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
Loss of mental function is a common complication of bypass surgery, and should influence procedure cost benefit considerations. One published study using MRI imaging just after coronary bypass surgery found significant brain damage in 51% of patients.
Several factors may contribute to immediate cognitive decline. The heart-lung blood circulation system and the surgery itself release a variety of debris, including bits of blood cells, tubing, and plaques. For example, when surgeons clamp and connect the aorta to tubing, resulting emboli block blood flow and cause mini strokes. Other heart surgery factors related to mental damage may be events of hypoxia, high or low body temperature, abnormal blood pressure, irregular heart rhythms, and fever after surgery.
A safer and more permanent and successful way to prevent heart attacks in patients at high risk is to exercise, give up smoking, take “drugs to get blood pressure under control and drive cholesterol levels down to prevent blood clotting”.Longer term, behavioral and medication treatment may be the only way to avoid vascular related loss of mental function.
Testimonial » view all
On Nov 20 we landed in Mexico around 7:30 pm and went straight to the hospital where we met with the surgeon and his staff. That was really strange only because now it was about 8pm, and what Dr have you ever met that worked this late. Apparently good ones. Surgery was scheduled for the next day. Arrived at 7am and by 10 pm we were released and headed for the hotel. Just to keep everyone that is still reading this interested I will leave out a lot from our trip but still want everyone to know that this was the best experience I’ve had in my life. We were out on the beach the next morning and traveling all over Puerto Vallarta for the next 6 days. The locals took great care of us wherever we went and you could tell that they were pleased to do so.» read more