Font Size
A
A
A
...
9
...

Coronary Heart Disease (cont.)

Surgery

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.

  • If multiple coronary arteries are blocked, or if the left main artery shows significant blockage, bypass surgery is usually the best treatment choice.
  • The blocked parts of the arteries are detoured or bypassed with blood vessels "harvested" from your chest (internal mammary), arm (radial artery), or a leg (saphenous vein).
  • During the surgery, the heart is stopped temporarily and you are connected to a machine called a bypass pump that takes over the functions of the heart.
  • These operations are very successful and have a low rate of complications.

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.

  • A surgeon uses a laser catheter to create multiple pinholes in your heart muscle.
  • The holes encourage growth of new vessels into the diseased heart muscle.
  • This procedure can be done by itself or in conjunction with coronary bypass surgery.
Medical Author:
Medical Editor:
Medical Editor:
Medical Editor:

Must Read Articles Related to Coronary Heart Disease

Angina
Angina Pectoris Angina pectoris is a term to describe chest pain that occurs when the heart is not getting enough blood. There are two types of angina, stable (the most common)...learn more >>
Automated External Defibrillators (AED)
Automated External Defibrillators (AED) Automated external defibrillators (AEDs) are used when a person has had a heart attack or sudden cardiac arrest. It is a machine that instructs the user through...learn more >>
Cardiopulmonary Resuscitation (CPR)
Cardiopulmonary Resuscitation (CPR) CPR, or cardiopulmonary resuscitation is a procedure a person can use to assist a person who is in cardiac arrest. Providing CPR to a person who is in cardiac a...learn more >>

Patient Comments & Reviews

The eMedicineHealth doctors ask about Heart Disease:

Coronary Heart Disease - Causes

What was the cause of your coronary heart disease?





Read What Your Physician is Reading on Medscape

Hypertensive Heart Disease »

Uncontrolled and prolonged elevation of blood pressure (BP) can lead to a variety of changes in the myocardial structure, coronary vasculature, and conduction system of the heart.

Read More on Medscape Reference »


Medical Dictionary