Coronary Artery Bypass Graft (CABG)

A Guide to Understanding Heart Bypass Surgery

Cardiac Surgery

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Last updated: Mar 24, 2025

What is CABG?

Coronary artery bypass graft (CABG) surgery is a procedure that improves blood flow to your heart by creating new pathways for blood to flow around blocked arteries.

Why is CABG Needed?

This surgery may be necessary when:

  • Coronary arteries become severely blocked or narrowed
  • Multiple vessels are diseased
  • Other treatments like medication or stenting aren't sufficient
  • You experience severe chest pain (angina) unresponsive to other treatments

The Procedure

Pre-Surgery

  • Comprehensive medical evaluation
  • Blood tests and imaging
  • Medication adjustments
  • Fasting instructions

During Surgery

  1. General anesthesia administration
  2. Chest access through the breastbone
  3. Harvest of graft vessels (usually from leg veins or chest arteries)
  4. Heart-lung machine connection (in traditional CABG)
  5. Bypass creation around blocked arteries
  6. Closure and completion

Recovery Process

Hospital Stay (5-7 days)

  • Initial ICU monitoring
  • Pain management
  • Early mobility exercises
  • Breathing exercises

At Home Recovery (4-12 weeks)

  • Gradual increase in activities
  • Cardiac rehabilitation program
  • Regular follow-up appointments
  • Medication management

Expected Outcomes

  • Improved heart function
  • Reduced angina symptoms
  • Better quality of life
  • Extended life expectancy

Potential Risks

  • Infection
  • Bleeding
  • Irregular heart rhythms
  • Stroke
  • Memory or cognitive issues

Long-term Care

  • Regular cardiac check-ups
  • Lifestyle modifications
  • Medication compliance
  • Risk factor management

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