Coronary Heart Disease (cont.)
Vibhuti N Singh, MD, MPH, FACC, FSCAI
Alan D Forker, MD
Francisco Talavera, PharmD, PhD
Michael E Zevitz, MD
IN THIS ARTICLE
Surgery in coronary heart disease is reserved for people whose disease is either severe or is not improved or stabilized by medication and other less invasive therapies.
Coronary artery bypass grafting (CABG): This is the standard operation for blockages of coronary arteries.
Off-pump bypass surgery: Sometimes surgeons can perform open heart surgery without using a bypass pump and while the heart is beating. The procedure causes fewer side effects than the standard procedure, but it is not feasible in all situations.
Minimally invasive coronary bypass (MINI-CABS): If just your front or right coronary arteries need bypass, a surgeon may replace the blocked artery with an artery from the chest via a small keyhole incision, without opening your chest, to detour the blockage.
Transmyocardial laser revascularization (TMR): TMR offers an alternative for people who are not good candidates for either angioplasty or bypass surgery.
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