Coronary artery bypass surgery

Graham Cooper

in Oxford Textbook of Medicine

Fifth edition

Published on behalf of Oxford University Press

Published in print May 2010 | ISBN: 9780199204854
Published online May 2011 | e-ISBN: 9780199570973 | DOI:

Series: Oxford Textbooks

Coronary artery bypass surgery

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Patients with left main-stem stenosis and three-vessel disease merit surgery for prognosis, regardless of symptom severity, especially if ventricular function is impaired. Coronary artery bypass is also an effective therapy for angina pectoris that is not controlled with medical treatment.

Despite a worsening risk profile in the population undergoing coronary artery bypass, operative mortality remains low. Ten years after operation, about 80% of patients are still alive and two-thirds are free of angina. Contemporary results are likely to be better than this due to increasing use of arteries instead of veins as bypass grafts, and improvements in secondary prevention.

The evidence shows that coronary artery bypass gives patients with coronary artery disease longer survival than percutaneous intervention, even with the use of drug-eluting stents.

Chapter.  2243 words.  Illustrated.

Subjects: Cardiovascular Medicine

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