Coronary Artery Bypass Graft (cont.)
Daniel Lee Kulick, MD, FACC, FSCAI
Dr. Kulick received his undergraduate and medical degrees from the University of Southern California, School of Medicine. He performed his residency in internal medicine at the Harbor-University of California Los Angeles Medical Center and a fellowship in the section of cardiology at the Los Angeles County-University of Southern California Medical Center. He is board certified in Internal Medicine and Cardiology.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In this Article
- Coronary artery bypass graft facts
- What is coronary artery bypass graft (CABG) surgery?
- How does coronary artery disease develop?
- How is coronary artery disease diagnosed?
- How is coronary artery disease (CAD) treated?
- How is CABG surgery done?
- How do patients recover after CABG surgery?
- What are the risks and complications of CABG surgery?
- What are the long-term results after CABG surgery?
- How do CABG surgery and angioplasty (PTCA) compare?
- Find a local Cardiothoracic Surgeon in your town
What are the risks and complications of CABG surgery?
Overall mortality related to CABG is 3-4%. During and shortly after CABG surgery, heart attacks occur in 5 to 10% of patients and are the main cause of death. About 5% of patients require exploration because of bleeding. This second surgery increases the risk of chest infection and lung complications. Stroke occurs in 1-2%, primarily in elderly patients. Mortality and complications increase with:
- age (older than 70 years),
- poor heart muscle function,
- disease obstructing the left main coronary artery,
- chronic lung disease, and
- chronic kidney failure.
Mortality may be higher in women, primarily due to their advanced age at the time of CABG surgery and smaller coronary arteries. Women develop coronary artery disease about 10 years later than men because of hormonal "protection" while they still regularly menstruate (although in women with risk factors for coronary artery disease, especially smoking, elevated lipids, and diabetes, the possibility for the development of coronary artery disease at a young age is very real). Women are generally of smaller stature than men, with smaller coronary arteries. These small arteries make CABG surgery technically more difficult and prolonged. The smaller vessels also decrease both short and long-term graft function.
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