Coronary Artery Bypass Grafting with CPB

George L. Hicks, Jr, MD, Sunil Prasad, MD


The development and expansion of coronary artery bypass grafting (CABG) in the United States followed in parallel with 3 major advances between the 1950s and late 1960s, namely, (1) the development of cardiopulmonary bypass (CPB); (2) the mastery of surgical anastomotic techniques; and (3) the ability to harvest both venous and arterial grafts.

In this chapter, the reader should assimilate the following:

  • History of CPB as it relates to CABG
  • Indications for on-pump CABG and studies related to its effectiveness compared with percutaneous catheter intervention (PCI) or medical management
  • On-pump techniques
  • Choice of conduits for coronary revascularization
  • Operative complications

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Last updated: September 15, 2021