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CABG Anatomy On off pump Conduits. The Heart. Human Heart. The Pericardium. Coronary Anatomy. Coronary Angiography. Normal left coronary. Normal right coronary. Left Main stem. Left Main stem. Lad and circ lesion. Lad and circ lesion. Right lesion. Right lesion. How to do a CABG.
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How to do a CABG • On pump • Cardiopulmonary Bypass • Cardioplegia • Off pump
Conduits • LIMA • RIMA • BIMA (LIMA and RIMA) • SVG • Radial left and right • Other • Single or composite
LIMA • Gold standard for LAD • Pedicled or non-pedicled • Skeletonised or not
RIMA • Prox right or prox circ
BIMA • Same indications as LIMA and RIMA • Sternal wound problems especially if diabetic and obese
SVG • The usual conduit of choice
Radial artery Coronary lesion must be > 70 % stenosed No difference at 5 years for RCA disease compared to SVG
Answer • LIMA and • SVG / radial / RIMA depending on coronary anatomy and patient characteristics Answer is in the middle