What are contraindications for coronary artery bypass grafting (CABG)?

Updated: Dec 04, 2019
  • Author: Rohit Shahani, MD, MS, MCh; Chief Editor: Karlheinz Peter, MD, PhD  more...
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Answer

Coronary artery bypass grafting (CABG) carries a risk of morbidity and mortality and is therefore not considered appropriate in asymptomatic patients who are at a low risk of myocardial infarction or death. Patients who will experience little benefit from coronary revascularization are also excluded.

CABG is performed in elderly patients for symptomatic relief. Although advanced age is not a contraindication, CABG should be carefully considered in the elderly, especially those older than 85 years. These patients are also more likely to experience perioperative complications after CABG. A multidisciplinary heart team approach that emphasizes shared decision making in patients with complex coronary artery disease is essential to offer the patient the best chance of a successful revascularization strategy.


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