Operative mortality with coronary artery bypass graft: Where do we stand in 2015?

Donna May Kimmaliardjuk, Hadi Toeg, David Glineur, Benjamin Sohmer, Marc Ruel*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations

Abstract

Purpose of review Coronary artery bypass graft (CABG) surgery has evolved and become much safer since its inception. This article outlines recent strategies in optimizing CABG mortality. Recent findings Improving operative mortality around CABG relates to five components. These include the role of relevant quality indicators; improved CABG techniques, such as multiple arterial grafting with less manipulation of the aorta; improvements in cardiopulmonary bypass; refinements in cardiac anaesthesia along with postoperative care; and the development of centres of excellence. Summary The development of advanced surgical revascularization techniques raises the question as to whether CABG expertise should be considered a sub-specialty of cardiac surgery. An expert CABG surgeon should be able to appropriately utilize several different revascularization techniques to adjust the operation to the patient, rather than the contrary.

Original languageEnglish (US)
Pages (from-to)611-618
Number of pages8
JournalCurrent opinion in cardiology
Volume30
Issue number6
DOIs
StatePublished - Oct 9 2015

Keywords

  • Beating heart and less invasive cardiac surgery
  • Cardiac anaesthesia
  • Centres of excellence
  • Coronary artery bypass grafting
  • Quality indicators

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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