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Indications for Coronary Artery Bypass Grafting (CABG)

Written by Padma Sundareson | Medically Reviewed by Dr. Sunil Shroff, MBBS, MS, FRCS (UK), D. Urol (Lond) on Aug 27, 2014
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Indications for Coronary Artery Bypass Grafting (CABG)

Indications for Coronary Artery Bypass Grafting (CABG) depend on various factors, mainly on the individual's symptoms and severity of disease. Some of these include -

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  • Left main artery disease or equivalent
  • Triple vessel disease
  • Abnormal Left Ventricular function.
  • Failed PTCA.
  • Immediately after Myocardial Infarction (to help perfusion of the viable myocardium).
  • Life threatening arrhythmias caused by a previous myocardial infarction.
  • Occlusion of grafts from previous CABGs.

Bypass grafting may be contraindicated in patients, for e.g. absent viable myocardium or the artery that needs grafting is too small.

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An Argentinean cardiac surgeon called Rene Favaloro in 1960's first pioneered CABG and today over 500,000 CABGs are done every year in United States alone. In India where there is a rising incidence of heart disease the number of CABG surgeries is showing an increasing trend.

Rene G. Favaloro moved to the Cleveland Clinic in 1962 and with him came a wind of change that was to reshape cardiac surgery forever. With his cherished colleagues, Effler, Sones, Proudfit, Groves, Sheldon, and countless others, he contributed to the double internal mammary artery-myocardial implantation by the Vineberg method, and, subsequently, in May 1967, he reconstructed the right coronary artery by saphenous vein graft interposition. These milestones set the stage for aortocoronary saphenous vein bypass grafting in October 1967. - Captur G - Memento for René Favaloro, Tex Heart Inst J. 2004;31(1):47-60

References:

  1. Evaluation of indications for PTCA - (http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=9081904&dopt=AbstractPlus)
  2. Cardiothoracic & Vascular surgery in IndiaAchievements & future goals - (http://medind.nic.in/ibq/t05/i2/ibqt05i2p133.pdf)
  3. Coronary Artery Bypass Graft Surgery (CABG) - (http://www.medicinenet.com/coronary_artery_bypass_graft/page4.htm)
  4. Infant undergoes beating heart surgery - (http://www.dnaindia.com/report.asp?NewsID=1093376)
  5. Coronary Artery Bypass Surgery - (http://www.nlm.nih.gov/medlineplus/coronaryarterybypasssurgery.html#cat57)
  6. Clips versus suture technique: is there a difference? - (http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=11109037&dopt=AbstractPlus)

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Comments

santosa

what is the dental management of patient with history of CABG ??

Urmil44

my child had a blockage in his volve by birth. his balooning has been done since he was at the age of 22 days. we are regularly going to dr. for periodically check up as and when suggested. My son is now 11 years old he has no problem except swetting as and when he runs very fast while playing or otherwise. He is living is having good health comparing to a normal child. I just want to clear my doube that in the long run can we have any problem relating to volve in future or he will be alright for ever.

Rowland

I had CABG 13 years ago (at age 69) and it resulted in a stroke that left me with hemiplegia. Now, my angina is returning, but I'm treating it with Seanol - which so far (2 months)has been successful. Rowland

artini

thank god..hope you be patient rawland and continue with healty rountine and life style.

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