Coronary artery bypass grafts

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Coronary artery bypass grafts are a treatment for atherosclerotic heart disease (ASHD). They are created in a procedure called coronary artery bypass surgery, also coronary artery bypass grafting, abbreviated CABG. CABGs are encountered by pathologists at autopsy.

The other treatments for ASHD are medical management, and percutaneous coronary intervention (PCI).

Indications

Indications for CABG:[1]

  • Left main coronary artery disease.
  • Triple vessel disease.
    • Disease involving the left anterior descending (coronary artery), left circumflex coronary artery and right coronary artery.

Gross

All grafts should be identified.

  • Proximal anastomosis - if applicable.
  • Distal anastomosis.

See also

References

  1. Serruys, PW.; Morice, MC.; Kappetein, AP.; Colombo, A.; Holmes, DR.; Mack, MJ.; Ståhle, E.; Feldman, TE. et al. (Mar 2009). "Percutaneous coronary intervention versus coronary-artery bypass grafting for severe coronary artery disease.". N Engl J Med 360 (10): 961-72. doi:10.1056/NEJMoa0804626. PMID 19228612.