Heart Disease Library
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Coronary artery bypass surgery for coronary artery disease
- A coronary artery is blocked

Coronary artery bypass grafting (CABG) surgery reroutes blood around blocked arteries, increasing blood flow to the heart muscle tissue.
- The sternum is cut

The surgeon makes a vertical incision in the skin and muscle in the middle of the chest and then cuts through the breastbone (sternum).
- The heart is exposed

The surgeon spreads the rib cage with a retractor to expose the heart and then cuts through the lining that protects the heart (pericardium).
- Blood flow is rerouted

To reroute blood flow around the diseased blood vessel, surgeons typically use a portion of the saphenous vein in the leg or an internal mammary artery.
- Oxygen-rich blood flows to heart muscle

Regardless of which type of blood vessel is used, oxygen-rich blood from the aorta is rerouted around the blocked section of the coronary artery to feed the heart muscle.
Last Updated:
May 29, 2008- Medical Review:
- Caroline S. Rhoads, MD - Internal Medicine
Robert A. Kloner, MD, PhD - Cardiology
Ruth Schneider, MPH, RD - Diet and Nutrition
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