Heart Bypass Surgery

Heart Bypass Surgery

Coronary Artery Bypass Grafting (CABG)

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Duke heart surgeons use a range of techniques -- from minimally invasive options to complex surgical approaches -- to perform a high volume of heart bypass surgeries (also known as coronary artery bypass grafting). Our extensive expertise lets us offer heart bypass surgery to more people with coronary artery disease, including people at high risk or with complex conditions. Our goal is to return you to your optimal heart health as soon as possible.

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Surgical Options

During coronary artery bypass grafting (CABG), a surgeon uses a vein or blood vessel from your leg, arm, or under your chest wall to reroute blood flow around a blocked artery. 

On-Pump Heart CABG

The standard approach to heart bypass involves a chest incision and the use of a heart-lung bypass machine, or pump, which maintains blood flow through your body. Our specialists constantly manage the life-support devices during surgery to ensure optimal safety.

Off-Pump CABG

When appropriate, heart bypass surgery may be performed without a heart-lung bypass machine. Your surgeon may choose this technique if you are at high risk or if you have other health conditions.

Minimally Invasive CABG

Depending on your condition and anatomy, your surgeon may access your heart through small incisions, rather than the large chest incision typically associated with heart surgery. The small incisions are made between the ribs, and special surgical instruments are used to complete the bypass. Surgeons may also use robotic tools, which make it easier for the surgeon to see and access your heart and blood vessels. Minimally invasive procedures may be performed on-pump or off-pump. They are typically associated with less scarring, less blood loss, and a faster recovery.​

Hybrid Surgery

Surgeons may work with cardiologists in our hybrid operating room to perform heart bypass surgery and another type of procedure, such as angioplasty (also called percutaneous coronary intervention) to open blocked arteries. This approach combines the treatment benefits of both types of procedures and shortens your procedure time as well as the length of your hospital stay.​

Our Locations
Duke Health offers locations throughout the Triangle. Find one near you.

Experts in Heart Bypass Surgery

More Options for Coronary Artery Disease Surgery
Our surgical team is skilled in performing the latest CABG surgeries. We offer solutions to people with coronary artery disease who may have run out of options elsewhere.

Minimally Invasive Vein Harvesting
Whenever possible, we use small incisions to obtain the veins from your legs that may be used to bypass blocked arteries and blood vessels. As a result, you experience less pain and scarring.​

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Better Outcomes
Ours is among the nation’s top-performing adult cardiac surgery programs. With our excellent survival rates, low complication rates, and use of treatment guidelines, we offer the best opportunity for a successful outcome.

Support for Your Recovery
Our cardiac prevention and rehabilitation program gives you access to nutrition counseling, exercise instruction, stress management, smoking cessation programs, and more. We help you recover from surgery and establish lasting lifestyle changes to help you manage coronary artery disease.​

Duke University Hospital is nationally ranked in 10 adult specialties
Best Heart Hospital in NC
When it comes to your heart care, you want the very best. Duke University Hospital's nationally ranked cardiology and heart surgery program is ranked the best in North Carolina by U.S. News & World Report for 2019–2020.
Reviewed: 08/30/2018