Coronary Artery Bypass Graft (CABG)

Clinical Services: Cardiothoracic Surgery (Heart Surgery)

Upper East Side
525 East 68th Street, M-404
New York, NY 10065

Mon-Fri 09:00am - 05:00pm

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Fax

(646) 962-0108

Call

(212) 746-5166

North Queens
56-45 Main Street, 3S – Room 387
Flushing, NY 11355

Mon-Fri 09:00am - 05:00pm

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Northwest Brooklyn
263 7th Avenue, Suite 4H
Brooklyn, NY 11215

Mon-Fri 09:00am - 05:00pm

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Fax

(718) 780-6701

Call

(212) 746-5155

Coronary artery disease afflicts a large number of Americans. When cholesterol and calcium build up in the arteries (the vessels that pump blood from the heart throughout the body), this can cause blockages or “hardening” of one or more arteries. If left untreated, the blockages can cause a heart attack.

The most common surgical treatment for coronary artery disease is coronary artery bypass graft (CABG). This procedure has proven to lower the risk of future heart attack and the need for additional procedures. It has also proven to result in less chest pain (often referred to as “angina”) and a longer life expectancy.

Why choose Weill Cornell Medicine for CABG surgery?

Our outcomes are consistently among the best in New York State and routinely exceed the national average. The most current mortality rate for CABG surgery at Weill Cornell Medicine is only 0.085%.

Our patients also benefit from our:

● Expertise in performing CABG for elderly patients (age 80 and older)

● Expertise in performing CABG for patients with other medical conditions

● Range of CABG surgical approaches—including traditional, open-heart surgery and minimally invasive techniques—to treat all patients

● Access to world-class imaging technology for the most accurate diagnosis possible

● Commitment to individualized care

CABG procedure

Before surgery, our surgical team carefully analyzes the coronary angiograms and performs ultrasound testing to determine the best approach.

During CABG surgery, the surgeon takes a blood vessel from the chest, arms, or legs and uses it to route blood around blockages in the coronary arteries in order to restore adequate blood circulation to the heart.

Our surgeons take a modernized approach to coronary bypass surgery in order to maximize the durability of this operation for our patients. Research shows that using arteries instead of veins to perform the bypass improves the durability of the bypass grafts. Many patients are candidates for CABG using multiple arterial grafts

In select cases, coronary artery bypass grafting can be performed without the use of the heart-lung machine. In this "beating heart" (also called off-pump) technique, a small vertical incision is made in the chest, and a mechanical stabilizing device is used to restrict movement of the heart so that the surgeon can perform surgery while the heart is beating. The heart maintains its own rhythm without the assistance of the heart-lung machine.

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FAQ

I am interested in participating in a clinical trial for cardiac conditions. Where can I learn about the current trials at Weill Cornell Medicine?

Learn about our many current trials open to patient participation.

I would like to learn more about my specific condition and treatment options. Which resources do you recommend?

We recommend visiting the Weill Cornell Medicine Cardiothoracic Department website, as well as the American Heart Association.

What happens after I schedule my heart surgery?

Once you and your care team decide that surgery is the best treatment plan for your condition, you will schedule a pre-surgical appointment, which takes place at M404.

What happens during the pre-surgical appointment?

During your pre-surgical appointment:

Your nurse practitioner will explain what you can expect for your specific surgery and hospital stay
Your nurse practitioner will review your current medications
You will sign a consent form for the surgery and potential blood transfusion (Please note: Most patients do not receive blood transfusions during surgery, but we are required to have you sign this consent form, just in case you do need a transfusion and are not awake at the time to give your consent. ALL blood is stringently tested for HIV, hepatitis, and cytomegalovirus.)
You have the opportunity to ask questions
You will receive a small bottle of antibacterial soap

This process generally takes two to three hours.

What do I need to do to prepare for the surgery?

You will be given instructions as to which medications you should stop taking to prepare for surgery.

On the night before your surgery, shower using half of the bottle of antibacterial soap. On the morning of the surgery, before you come to the hospital, shower using the rest of the soap.

Do not eat or drink after midnight the night before your surgery. You may take your medications that the nurse practitioner approved you to take the morning of surgery, with just a small sip of water.

Where should I park for my surgery?

Parking is available in front of the 68th Street circular entrance to the hospital. There are also several parking garages in the immediate area.

Parking is only validated on the day of your hospital discharge, not on the day of your pre-surgical appointment.

What should I bring for my surgery?

Please be sure to bring you:

Insurance card(s)
Toiletries
Pajamas, robe, and slippers

Generally try not to bring too much to the hospital, because you probably won't use a lot of these things and will just have to carry them home.

Please do not bring any jewelry or expensive electronics with you for the first hospital day. Your family and friends are welcome to bring those items once you are awake and in your room.

Where should I go to check in for the surgery?

Please check in at Greenberg 3-West (Same-Day Surgery Unit), which is on the third floor of the Greenberg Pavilion, using the "G" elevators.

If you are the first case, please check in at 6 AM. If you are the second case, please check in at 10 AM.

How long does surgery usually take?

The usual length of the actual cardiac surgery is about three and a half to four hours. However, the total length of time your family member will spend in the operating room is longer. Much of that "extra time" is spent preparing you for surgery and getting you ready to go to the recovery room (PACU) or ICU following surgery.

Where should my friends and family members wait during the surgery?

During your surgery, your family and friends should wait in the Ronald O. Perelman Heart Institute Atrium. Please tell them to check in at the front desk so that they can be contacted when your surgeon calls.

If the Ronald O. Perelman Heart Institute Atrium is closed at the time of your surgery, your family and friends may wait in the smaller waiting area right outside the Cardiothoracic ICU (4-West).

There is also a café on the first floor of the hospital, directly opposite the information desk and down the hall from the front door on the left, which is open at all times. This café sells coffee, tea, and a variety of food.

Where can I learn more information about heart surgery at Weill Cornell Medicine?

Please download our extensive Guide to Surgery.

I have questions about my insurance coverage. Who should I contact?

Please see Insurance Questionsor call (212) 746-5161.