Coronary Bypass Surgery

A coronary bypass procedure is a type of open-heart surgery performed if you have coronary artery disease, buildup inside the aorta or a blocked coronary artery that cannot be treated via angioplasty.

Coronary bypass surgery is also known by several other names, including:


  • Coronary artery bypass (CAB)
  • Coronary artery bypass graft (CABG)
  • Coronary artery bypass surgery

 

During a CABG surgery, healthy blood vessels from the patient’s arms, legs or chest are used to reroute blood flow around a blockage.

Our Approach to Coronary Bypass Surgery

Our cardiac surgeons and cardiac anesthesiologists have extensive expertise in the surgical techniques needed to safely and effectively perform cardiac surgery like CABG.

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To offer improved outcomes and reduced recovery times, we were one of the first hospitals in the nation to build hybrid operating rooms, which combine breakthrough technologies with traditional surgery capabilities. This combination of technologies enables our experts to more rapidly diagnose and treat a wide range of heart and vascular conditions. Not only does this streamline your care, it also reduces the risk of complications and time it takes to recover.

In addition, we know that having open-heart surgery can be a life-changing procedure for you and your family. After your surgery, our cardiac rehabilitation experts are here to help with your recovery beyond your stay with us.

When Is Bypass Surgery Needed?

Coronary bypass surgery is needed if your coronary artery, which delivers blood directly to your heart, is diseased or blocked and cannot be repaired via angioplasty.
 
Bypass surgery is used to redirect blood flow around your clogged arteries, lessening the risk of blood clots and improving oxygen circulation to the heart.

Patients who may be good candidates for CABG include those who:

  • Are in advanced stages of heart failure
  • Have been dealing with coronary artery disease (CAD) caused by atherosclerosis, or the hardening of plaque inside the arteries
  • Frequently have angina (chest pain) due to coronary heart disease
  • Have had unsuccessful attempts at angioplasty and/or stenting procedures
  • Are having an emergent health situation immediately after a heart attack

What to Expect From Coronary Artery Bypass Graft Surgery

During coronary bypass surgery, you are placed under general anesthesia while a cardiac surgeon opens your chest to access your heart arteries. The surgeon takes a blood vessel from your chest, arm or leg area and attaches (grafts) this artery to your heart. This creates a bypass below the clogged section (or sections) of your coronary artery (or arteries), restoring blood flow to your heart.

Next, the surgeon positions small tubes to drain your chest of any fluid that may accumulate. Your surgeon may also attach pacing wires to help your heart beat normally during recovery.
 
Finally, your surgeon closes your chest and you are moved to a recovery room. The entire operation takes between three to six hours. Depending upon the amount of blockage, you may have more than one bypass during this procedure.

How Long Does It Take to Recover From Bypass Surgery?

With no complications, you will typically spend about five days in the hospital recovering from a CABG procedure. This includes one day of observation in the intensive care unit after surgery.
 
Once home, you will need to follow your surgeon’s instructions closely and be aware of any signs of complications. Contact your doctor immediately if you experience any of the following:

  • High fever
  • Rapid or irregular heartbeat
  • Chest pain
  • Shortness of breath

 

Heart problems can be life-changing for patients and their families. Our cardiac rehabilitation experts and cardiologists are here to help with your recovery beyond your surgery and hospital stay.
 
After surgery, your cardiologist will recommend making certain lifestyle changes, including:

  • Eating healthy
  • Incorporating low-fat foods into your diet
  • Exercising regularly
  • Quitting smoking, if you smoke
  • Learning ways to manage stress

Benefits of Coronary Bypass Surgery

While the decision to have CABG surgery is between you and your trusted physician, it helps to have as much information on the procedure as possible. If you are a candidate for bypass surgery, it’s likely you’re already in some stage of coronary artery disease, and the procedure is likely to help you manage its symptoms and related outcomes. Benefits of CABG include:

  • Lower risk of heart attack
  • Revascularization leading to increased blood flow and better heart function
  • Relief from angina and shortness of breath
  • Elevated quality of life and increased longevity
  • Long-lasting results that lower the chance of future procedures
  • More effective for complex cases

Coronary Artery Bypass Graft Surgery Gets His Energy Back on Track: Henry’s Story

Henry Ham struggled with coronary artery disease with a 75% blockage in one of his arteries before his heart bypass surgery.
Read Henry's story >

Why Choose Houston Methodist for CABG Surgery?

Heart surgery can be an overwhelming prospect for many patients. Fear about surgical procedures in general can be exacerbated even further when the heart is involved. At Houston Methodist, we understand your worries and we hear your concerns. Our cardiac surgeons and healthcare providers are the leading experts in their field, and they have the knowledge, experience and empathy it takes to provide the highest level of care. 

When you choose Houston Methodist for your coronary artery bypass graft surgery, you’re choosing best-in-class care, delivered with compassion. And that’s something you can really take to heart.

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