CABG "Coronary Artery Bypass Grafting" By Mohamed A. Gabr Cardiothoracic surgery specialist Mansoura University Hospitals Mansoura Egypt 2019

1. MOHAMED A. GABR
MANSOURA UNIVERSITY HOSPITAL
2019
CABG

6. History
1951: in Montreal, Vineberg and Miller: direct implantation of LIMA into the
myocardium.
Early 1960s: Sones and Shirey did coronary angiography at the Cleveland
Clinic.
1964: Kolesov in Leningrad, in which the LIMA was anastomosed
to the LAD.
1967: Favaloro and Effler at the Cleveland Clinic reversed saphenous vein
bypass grafting and by 1971.

7. Coronary Angiography

16. Indications

17. Conduits
- LIMA (Left internal mammary artery)
- RIMA (Right internal mammary artery)
- RA (Radial artery)
- GEA (Gastro-epiploic artery)
- GSV (Great saphenous vein)
- Lesser saphenous vein
1- Arterial conduits:
2- Venous conduits:

19. LIMA Harvest

23. Saphenous vein Harvest

25. Radial artery Harvest

27. Approach
4- Off-Pump
1- Median Sternotomy
2- Minimally invasive:
- MIDCAB
- ENDOCAB
- Robotic
3- On-Pump

28. Median Sternotomy

36. MIDCAB

42. Robotic

44. OPCAB

47. Total Arterial Revascularization

49. Questions
1- Indications of CABG operation
2- Types of conduits used in CABG

50. THANK YOU
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