Coronary artery bypass grafting (CABG) is a type of surgery that improves blood flow to the heart. Surgeons use CABG to treat people who have severe
coronary heart disease (CHD).
CHD is a disease in which a waxy substance called plaque builds up inside the coronary arteries. These arteries supply oxygen-rich blood to your heart.
Over time, plaque can harden or rupture (break open). Hardened plaque narrows the coronary arteries and reduces the flow of oxygen-rich blood to the heart. This can cause chest pain or discomfort called angina.
If the plaque ruptures, a blood clot can form on its surface. A large blood clot can mostly or completely block blood flow through a coronary artery. This is the most common cause of a
heart attack. Over time, ruptured plaque also hardens and narrows the coronary arteries.
CABG is one treatment for CHD. During CABG, a healthy artery or vein from the body is connected, or grafted, to the blocked coronary artery. The grafted artery or vein bypasses (that is, goes around) the blocked portion of the coronary artery. This creates a new path for oxygen-rich blood to flow to the heart muscle.
Surgeons can bypass multiple coronary arteries during one surgery.
CABG is the most common type of
open heart surgery in the United States. Doctors called cardiothoracic surgeons do this surgery.
However, CABG isn't the only treatment for CHD. Other treatment options include lifestyle changes, medicines, and a procedure called percutaneous coronary intervention (PCI), also known as coronary angioplasty.
PCI is a nonsurgical procedure that opens blocked or narrow coronary arteries. During PCI, a stent might be placed in a coronary artery to help keep it open. A stent is a small mesh tube that supports the inner artery wall.
CABG or PCI may be options if you have severe blockages in your large coronary arteries, especially if your heart's pumping action has already grown weak.
CABG also may be an option if you have blockages in the heart that can't be treated with PCI. In this situation, CABG may work better than other types of treatment.
The goals of CABG may include:
Source: National Heart, Lung, and Blood Institute; National Institutes of Health; U.S. Department of Health and Human Services.
Physicians are members of the medical staff at one of Baylor Scott & White Health's subsidiary, community or affiliated medical centers and are neither employees nor agents of those medical centers, Baylor Scott & White The Heart Hospital – Plano or Baylor Scott & White Health.