Coronary artery bypass grafting (CABG) remains one of the most common procedures worldwide,
and remains the gold standard therapy for symptomatic coronary artery disease (CAD) that involves
the left main coronary artery, triple vessel CAD with or without left ventricular dysfunction,
and other complex coronary CAD not amenable to percutaneous intervention, especially in diabetic
patients or those with chronic total coronary occlusion. The majority of CABG operations
are performed utilizing cardiopulmonary bypass, though beating heart or off-pump strategies
have gained popularity by some surgeons. This review focuses on current technical strategies, and
advances in conduit harvest and utility, and fundamental management components of cardiopulmonary
bypass and beating heart principles.
References
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