Therapeutic Strategies and Future Directions of Management for Patients with a History of Coronary Artery Bypass Grafting Who Require Secondary Coronary Revascularization

Secondary coronary revascularizations can be required due to the progression of artery lesions and degeneration bypass grafts in long term after initial graft (CABG) surgery. It is therefore necessary clarify clinical characteristics these patients how improve their prognosis. Optimal medical treatments, including medications, smoking cessation, cardiac rehabilitation, are essential baseline management prevent native atherosclerosis degradation among all post-CABG who undergo secondary revascularization as well those CABG surgery order avoid situations requiring revascularization. All procedures should built upon firm optimal treatments. Percutaneous intervention current mainstay approaches for have symptoms heart failure or angina pectoris because low invasiveness technique no need re-sternotomy. Redo-CABG an option, especially young without patency internal thoracic left anterior descending graft. The individualization improvements medications may outcomes prognosis this subgroup.