We tailor our approach to the individual needs of each patient, by employing a multidisciplinary team in our center. Patients are evaluated with echocardiogram, CT scan or MRI, and cardiac catheterization.
Coronary Artery Bypass Surgery (CABG) is the most common cardiac surgery procedure performed for acquired heart disease. Once your doctor has determined that bypass surgery is a better option for you than stents, you will be referred to a heart surgeon. Bypass surgery creates a different pathway for blood to travel to the muscle of the heart. Arteries from the chest and/or veins from the leg are used to direct blood past the blockages in the coronary arteries, which improves the quality and quantity of life.
Coronary bypass surgery can be performed with or without the heart lung machine. The decision is always made with a safety-first approach. Once the decision is made, we try to make the procedure as least invasive as possible. Many patients will qualify for minimally invasive coronary bypass grafting (Mid-CAB). It is important to ask your doctor if you qualify for such an approach and if the surgeon is skilled in that procedure.
Using arteries inside the chest (internal mammary arteries) provide much better results than the veins in the legs. We routinely use both internal mammary arteries for bypass grafting. In addition, we routinely use an artery from your non-dominant arm (the radial artery). This is taken out endoscopically, meaning that there is only a tiny incision in the wrist. If the radial artery cannot be used for whatever reason, a piece of vein is taken from the leg, again endoscopically, so there is only a tiny incision in the leg, covered with a band-aid.
The results of coronary artery bypass surgery are excellent, with perfect outcomes achieved in greater than 98% of patients.