Coronary artery bypass grafting: Part 1--the evolution over the first 50 years

Eur Heart J. 2013 Oct;34(37):2862-72. doi: 10.1093/eurheartj/eht330.

Abstract

Surgical treatment for angina pectoris was first proposed in 1899. Decades of experimental surgery for coronary artery disease finally led to the introduction of coronary artery bypass grafting (CABG) in 1964. Now that we are approaching 50 years of CABG experience, it is appropriate to summarize the advancement of CABG into a procedure that is safe and efficient. This review provides a historical recapitulation of experimental surgery, the evolution of the surgical techniques and the utilization of CABG. Furthermore, data on contemporary clinical outcomes are discussed.

Keywords: Coronary artery bypass grafting; Evolution; Graft Patency; Minimally invasive; Outcome prediction; Outcomes; Review.

Publication types

  • Review

MeSH terms

  • Aged
  • Angina Pectoris / physiopathology
  • Angina Pectoris / surgery
  • Collateral Circulation / physiology
  • Coronary Artery Bypass / methods
  • Coronary Artery Bypass / statistics & numerical data
  • Coronary Artery Bypass / trends*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Myocardial Ischemia / physiopathology
  • Myocardial Ischemia / surgery*
  • Treatment Outcome