Myocardial revascularization by coronary arterial bypass graft: past, present, and future

Abstract

The history of coronary artery bypass graft surgery is an amazing story that evolved from a basic understanding of the etiology of coronary artery disease to highly sophisticated methods of restoring blood flow to the myocardium. Adjunctive techniques of anticoagulation, coronary artery imaging, and cardiopulmonary bypass contributed greatly to our ability to provide surgical revascularization. Today, coronary artery bypass graft surgery is the treatment of choice for many patients with complex coronary artery disease. The future will certainly bring improved results with better graft patency with less operative insult and morbidity as the final chapter in the story remains untold.