[Secondary prevention of coronary events by coronary artery bypass surgery].
Coronary artery bypass surgery has shown its superiority on other therapeutic options in specific but frequent indications such as left main lesions, multivessel disease with alteration of ventricular function, proximal lesions of the LAD, and multivessel diseases in diabetic patients. After reviewing the epidemiology of coronary artherosclerosis, we emphasize the efficacy of the surgical treatment compared to medical or interventional therapy for preventing ischemic events. The results derived from randomized studies may be even further improved by the implementation of beating heart surgery and the systematic use of multiple arterial conduits.
Radermecker
M A
MA
Service de Chirurgie Cardio-Vasculaire et Thoracique, Hôpital Universitaire de Liège, CHU Sart-Tilman, Liège.
Limet
R
R
D015906:Angioplasty, Balloon, Coronary; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D015607:Stents