How is coronary artery bypass graft surgery performed?

How is coronary artery bypass graft surgery performed?

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Question
Hello doctor,
My father had a coronary angiogram, the doctor reported that he had many vessels blocked, couldn't put a stent, he could only have a bypass surgery. So the doctor asked me how the coronary artery bypass surgery procedure is performed? When performing bypass surgery, a blocked branch must be bridged, or only one bridge should be taken for all blocked blood vessels.
Anonymous customer
Answer
Answered by Master, Doctor Pham Van Hung - Department of Medical Examination & Internal Medicine, Vinmec Danang International General Hospital.
Hello,
With the question “How is coronary artery bypass surgery performed? ", the doctor answered as follows:
Coronary artery bypass graft surgery is a radical and effective treatment for severe ischemic heart disease. Indicated in case of stenosis of the left common coronary artery, stenosis of 2 trunks of the left coronary arteries (capsular and anterior interventricular arteries), stenosis of 3 coronary arteries or stenosis of 2 trunks of the arteries, including severe stenosis of the segment. proximal to the anterior interventricular artery (stenosis > 75%).
Doctors will use the internal mammary artery, the radial artery in the arm or the saphenous vein in the leg to make a "bridging" graft. Depending on the degree of stenosis and coronary artery anatomical characteristics, the doctor will "bridge" 1 or 2 grafts for a damaged coronary artery branch. These vascular bridges will help significantly improve blood flow to the heart muscle, reducing symptoms of chest pain and heart failure.
If you still have questions about coronary artery bypass surgery, you can go to a medical facility of Vinmec Health System for early examination and treatment. Thank you for trusting and sending questions to Vinmec. Wish you a lot of health.
Best regards!

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