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Myocardial Revascularization Surgery: JACC Historical Breakthroughs in Perspective
Michael J Mack1, John J Squiers1, Bruce W Lytle1
1Baylor Scott & White Health, Dallas, Texas, USA.
Journal of the American College of Cardiology
|July 23, 2021
Summary
Coronary artery bypass grafting (CABG) revolutionized heart treatment in the 1960s. This historical perspective reviews CABG
Area of Science:
- Cardiovascular Surgery
- Medical History
Background:
- Coronary artery bypass grafting (CABG) emerged in the 1960s as a pioneering direct coronary artery revascularization technique.
- It quickly became a leading surgical procedure globally, with over 20 million operations performed to date.
Observation:
- CABG remains the most frequent cardiac surgical procedure and has been extensively researched.
- Landmark clinical trials have rigorously evaluated CABG techniques, bypass conduits, and patient selection, influencing ongoing debates and research.
Findings:
- The historical development of CABG is intrinsically linked to the parallel advancement of percutaneous coronary intervention (PCI).
- This perspective offers a comprehensive overview of coronary revascularization, emphasizing CABG's foundations, evolution, evidence, and future trajectory.
Implications:
- Understanding CABG's history provides crucial context for current cardiovascular surgical practices.
- The ongoing evaluation of CABG and its comparison with PCI continue to shape the future of coronary revascularization strategies.
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