Encyclopedia of Clinical Neuropsychology

2018 Edition
| Editors: Jeffrey S. Kreutzer, John DeLuca, Bruce Caplan

Coronary Artery Bypass Graft

  • Richard KunzEmail author
Reference work entry
DOI: https://doi.org/10.1007/978-3-319-57111-9_11

Synonyms

CABG

Definition

Coronary artery bypass graft (CABG) is a surgical procedure for coronary artery disease in which arteries or veins from other parts of the body are grafted from the aorta to the coronary arteries in order to bypass the blocked portions. Indications for surgery include disease of the left main coronary artery and/or disease of all three coronary arteries and abnormal ventricular function. It may be performed in patients with severe angina which is unresponsive to medical management.

Patients undergo general anesthesia, and a midline incision (median sternotomy) allows the surgeon to visualize the heart and vessels. The artery or vein grafts are then harvested. Frequently used vessels include the internal thoracic arteries, radial arteries, and saphenous veins. The heart is then stopped using a special mixture of chemicals, and the patient is placed on cardiopulmonary bypass where the blood flow returning to the heart is diverted through a heart–lung machine that...

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References and Readings

  1. Ellis, L., Murphy, G. J., Culliford, L., Dreyer, L., Clayton, G., Downes, R., Nicholson, E., Stoica, S., Reeves, B. C., & Rogers, C. A. (2015). The effect of patient-specific cerebral oxygenation monitoring on postoperative cognitive function: A multicenter randomized controlled trial. JMIR Research Protocols, 4(4), e137.PubMedPubMedCentralCrossRefGoogle Scholar
  2. Hillis, L. D., Smith, P. K., Anderson, J. L., Bittl, J. A., Bridges, C. R., et al. (2011). http://circ.ahajournals.org/content/124/23/e652.full. Accessed 29 June 2016.
  3. Slater, J. P., Guarino, T., Stack, J., Vinod, K., Bustami, R. T., Brown III, J. M., et al. (2009). Cerebral oxygen desaturation predicts cognitive decline and longer hospital stay after cardiac surgery. Annals of Thoracic Surgery, 87(1), 36–44. discussion 44–45.PubMedCrossRefPubMedCentralGoogle Scholar
  4. Tarter, R. E., Butters, M., & Beers, S. R. (2001). Medical neuropsychology (2nd ed.pp. 69–71). New York: Kluwer Academic.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Physical Medicine and RehabilitationVirginia Commonwealth UniversityRichmondUSA