Coronary Artery Bypass Grafting (CABG): When Is It Necessary?
CABG (bypass surgery) improves heart blood flow when coronary arteries are narrowed/blocked by plaque. Typically considered when:
- Medications or angioplasty have failed or aren't appropriate
- Multiple blocked arteries or complex blockages exist
Procedure
Surgeon grafts a healthy vessel (usually leg saphenous vein or internal mammary artery) to the coronary artery beyond the blockage, creating a new blood flow path.
Risks & Benefits
Risks: bleeding, infection, anesthesia complications. Benefits: generally effective at improving blood flow, reducing angina, shortness of breath, fatigue.
Decision Factors
Severity of disease, overall health, complication risk. Decided collaboratively with your doctor.
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