Coronary Artery Bypass Graft surgery is commonly shortened to CABG and pronounced as ‘Cabbage’ for short. It is also known as ‘by-pass’ or ‘by-pass surgery’ or ‘bypass operation’.
This is a big operation where patients need to be fully anaesthetized (‘fully asleep’). The chest bone (breast bone) is then split with a saw and the heart is exposed. A long vein from the leg is carefully removed. Sometimes an artery from the forearm may also be removed. One end of this ‘harvested’ vessel is then joined to the narrowed heart artery at a point beyond the narrowing.
The other end is joined to the large artery leaving the heart called ‘aorta’. In this way, blood rich in oxygen leaving the heart can travel down this newly implanted vessel and be diverted to the heart. Therefore, the narrowed diseased portion of the artery is ‘by-passed’. The breastbone is then sewn up with wires and the skin closed. Patients usually need to stay in the Intensive Care Unit (ICU) for about 2-3 days and then another 4-5 days on the ward before discharge.
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Dr Pipin Kojodjojo specializes in cardiac electrophysiology and management of heart rhythm disorders in both adolescents and adults.
Experienced in managing patients with atrial fibrillation and unexplained blackouts (syncope).
Dr Chuang Hsuan-Hung is a heart failure intensivist trained in advanced cardiovascular imaging. He specialises in heart failure and heart transplant intensive care.
Experienced in managing genetic heart disease, cardio-oncology and sports cardiology.
Dr Stanley Chia is an interventional cardiologist with a distinguished academic record.
He is skilled and experienced in managing complex cardiovascular disease and difficult coronary interventional procedures like stenting of the left main artery.
Dr Jeremy Chow is an electrophysiologist specialising in the implantation and management of electronic cardiac devices.
Experienced in arrhythmia management, stroke prevention and trained in procedures such as electrophysiology studies and ablations.
Dr Tan Chong Hiok is an interventional cardiolgist trained and specialises in stenting of the left main artery and chronic total occlusion.
He is experienced in managing complex cases in patients who have declined or are unsuitable for bypass surgery.
Dr Goh Ping Ping is an echocardiologist trained in imaging of the heart.
She is a strong advocate of preventive cardiology and awareness for women’s heart health. She manages a broad spectrum of cardiovascular disease including heart attack patients.
Dr Chan Wan Xian is a heart failure intensivist specialised in managing complex heart failure and patients with mechanical hearts.
Trained in cardiac imaging and she is experienced is treating women at risk of heart disease, especially during pregnancy.
Dr Edgar Tay is an interventional cardiologist specialised in structual heart disease, adult congenital and pulmonary hypertension.
Trained in procedures like TAVI, Mitralclip and pulmonary angioplasty for chronic thromboembolic pulmonary hypertension.
Dr Cliff Wong is an echocardiologist trained in imaging of the heart.
He specializes in cardiac imaging (echocardiography and cardiovascular computed tomography). Experienced in managing cardiomyopathy, heart failure, valvular heart diseases and cardio-oncology.