Coronary Artery Bypass Graft ... Health Article

Definition

Coronary artery bypass graft surgery is a surgical procedure in which one or more blocked coronary arteries are bypassed by a blood vessel graft to restore normal blood flow to the heart. These grafts usually come from the patient's own arteries and veins located in the leg, arm, or chest.

Purpose

Coronary artery bypass graft surgery (also called coronary artery bypass surgery [CABG] and bypass operation) is performed to restore blood flow to the heart. This relieves chest pain and ischemia, improves the patient's quality of life, and, in some cases, prolongs the patient's life. The goals of the procedure are to relieve symptoms of coronary artery disease, enable the patient to resume a normal lifestyle, and to lower the risk of a heart attack or other heart problems.

According to the American Heart Association, appropriate candidates for coronary artery bypass graft surgery include patients who:

• have blockages in at least two to three major coronary arteries, especially if the blockages are in arteries that feed the heart's left ventricle or in the left anterior descending artery
• have angina so severe that even mild exertion causes chest pain
• have poor left ventricular function
• cannot tolerate percutaneous transluminal coronary angioplasty and do not respond well to drug therapy

Demographics

Coronary artery bypass graft surgery is widely performed in the United States. It is estimated that more than 800,000 coronary artery bypass graft surgeries are performed worldwide every year. The American Heart Association reports that 519,000 coronary artery bypass graft surgeries were performed in the United States in 2000, of which 371,000 were performed on men and 148,000 on women.

Description

Coronary artery bypass graft surgery builds a detour around one or more blocked coronary arteries with a graft from a healthy vein or artery. The graft goes around the clogged artery (or arteries) to create new pathways for oxygen-rich blood to flow to the heart.