Coronary artery bypass grafting (CABG)

Coronary artery bypass grafting is one of the reference procedures for treating coronary artery disease, when the arteries that supply the heart are narrowed or blocked. The principle is to create a vascular "bridge" that bypasses the diseased area, in order to restore normal blood supply to the heart muscle. To build these bridges, the surgeon uses vessels taken from the patient themselves: the internal mammary arteries located behind the breastbone, the radial artery of the forearm or veins from the legs. The choice of grafts is tailored to each patient to ensure the best possible durability. Bypass surgery is indicated when the coronary lesions are too numerous, too diffuse or poorly located to be treated by angioplasty. It provides lasting relief from angina pain, improves quality of life and protects the heart. At Clinique Pasteur Tunis, coronary bypass surgery is performed by a highly experienced surgical team, under cardiopulmonary bypass or on a beating heart depending on the case. Post-operative monitoring is provided in an intensive care unit entirely dedicated to cardiac surgery.