Surgical and Other Procedures for Coronary Artery Disease (CAD)
by Michelle Badash, MS
Surgery may be needed to treat severe CAD. It may also treat CAD that is causing angina despite treatment.
Coronary Artery Bypass Graft (CABG)
CABG is also known as open heart or bypass surgery. It is the most common type of heart surgery in the US.
A healthy blood vessel is removed from another area of the body. (A vein if it is from the leg, an artery if it is taken from the chest.) The healthy blood vessel is connected to the damaged artery. It is placed just above and just below the blocked area. This allows some blood to pass around the damaged area through the new pathway. If more than one area is blocked, a bypass can be done for each area. Two areas are called a double bypass, three is called triple bypass and so on.
Types of CABG include:
Talk to your doctor about which option is better for you. Although CABG may relieve symptoms, it does not cure heart disease. You still must maintain a healthy lifestyle. That includes reaching a healthy weight, heart healthy diet, not smoking, and taking medicine as needed.
Other procedures are used to open blocked arteries include:
Cardiac procedures and surgeries. American Heart Association website. Available at:
...(Click grey area to select URL)
Updated March 27, 2017. Accessed March 5, 2018.
Coronary artery bypass graft (CABG) surgery. EBSCO DynaMed Plus website. Available at: http://www.dynamed... . Updated December 28, 2017. Accessed March 5, 2018.
Coronary artery bypass grafting. National Heart, Lung, and Blood Institute website. Available at: https://www.nhlbi.nih.gov/health-topics/coronary-artery-bypass-grafting. Accessed March 5, 2018.
Percutaneous coronary intervention (PCI) procedure. EBSCO DynaMed Plus website. Available at: http://www.dynamed... . Updated July 26, 2017. Accessed March 5, 2018.
Revascularization for coronary artery disease (CAD). EBSCO DynaMed Plus website. Available at: http://www.dynamed... . Updated February 1, 2018. Accessed March 5, 2018.
Last reviewed March 2018 by EBSCO Medical Review Board Michael J. Fucci, DO, FACC
Last Updated: 3/15/2015
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