![]() ![]() It is, however, apparent that certain categories of patients have improved survival after elective bypass surgery. The timing of operative intervention in patients with less severe angina is a point of some dispute at present. Thus, CABG is indicated for patients with suitable coronary anatomy who have severe angina refractory to medical therapy and those with significant obstruction of left main coronary artery. It is also apparent that this procedure can be performed with very low risk by experienced operative teams. ![]() It is clear that CABG relieves angina in the vast majority of patients with severe symptoms. Based on the three largest trials and an extensive observational literature, a consensus appears to be emerging regarding the circumstances under which medical or surgical management appears to be the method of choice. ![]() Several multicenter, randomized trials have been reported, comparing medical with surgical management in patients with coronary artery disease. With refinements in CABG surgery over the past twenty years, operative myocardial revascularization is feasible in most patients with myocardial ischemia. The management of patients with symptomatic coronary heart disease has evolved considerably in the past twenty years with the application of invasive techniques in an ever increasing proportion of patients. Why Should I Register and Submit Results?. ![]()
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