Coronary Artery Bypass Grafting (CABG)
CABG surgery is an open-heart procedure undertaken by a cardiothoracic surgeon. This involves opening the chest under general anaesthetic to “bypass” narrowings in the coronary arteries. This is usually done with arteries from within the chest (left/ right internal mammary), veins from the legs, or arteries from the arms.
You may be referred for consideration of CABG if PCI is not technically possible, or the pattern of disease is so severe, that the recommendation is to undergo the operation. Diabetic patients are more likely to have better long term outcomes with CABG.
The decision to refer a patient for CABG is usually undertaken after a discussion between the cardiologist & surgeon. Cases where a more detailed discussion is required as to what may be best for the patient are discussed at an MDT.