Coronary Bypass Surgery

Coronary bypass surgery is the most common cardiac operation performed today.

As balloon angioplasty and stenting have proved an effective treatment of coronary artery disease, the number of coronary bypass operations has decreased. Yet studies have shown that in certain groups of patients, such as diabetics or those with triple-vessel disease, coronary bypass surgery remains the preferred mode of revascularization.

Coronary artery disease causes the hardening and narrowing of arteries that supply blood and oxygen to the heart. Bypass surgery reroutes the blood, using a vein segment from your leg or chest or wrist artery. The surgeon attaches it to the coronary artery, before and after the blocked area.

HVIcoronarybypass.jpg

In coronary bypass grafting, arterial conduits (arteries) have a better longevity than veins. Their usage leads to extended survival without additional interventions. Compared to our peer hospitals, Hartford Hospital has a significantly higher rate of arterial grafts. Our surgeons aim to employ at least two arterial conduits in the bypass operation. Arterial conduits most often used: the left internal thoracic artery, the right internal thoracic artery and the radial arteries in the forearms.

Use of the internal thoracic artery – formerly known as the internal mammary artery -- in surgical revascularization is largely responsible for the superiority of surgery over stenting. The artery, which supplies blood to the anterior chest wall and breasts, remains open much longer than it does with a saphenous vein bypass or a stent. The left internal thoracic artery is used in more than 90 percent of patients. The right internal thoracic artery provides the same advantages and would add to the benefits of surgery if used more frequently. The limited use of the right thoracic artery comes from the difficulties of this right-sided conduit in reaching the coronary vessels located in the left chest. 

Dr. Sabet W. Hashim, chairman of cardiac surgery and co-physician-in-chief of the Hartford HealthCare Heart & Vascular Institute, developed a technique using the “free” right thoracic artery (detached from its origin and re-hooked to the aorta) that allows for the use of this bypass in many situations.

Dr. Hashim has presented his work on the use of both thoracic arteries in coronary bypass surgery to the American Heart Association (2012, Los Angeles, Calif.). Younger patients derive the greatest benefit from this innovative technique, as it prevents the need for re-operation or re-intervention later in life. In the Journal of Cardiac Surgery (2014), Dr. Hashim detailed the surgical modifications required to achieve maximum opening of the right thoracic graft.



Meet our Coronary Bypass Specialists:

Name Specialties Location
McAree, Patrick C., PA-C McAree, Patrick C., PA-C
4.7 /5
123 surveys
860.456.2898
  • Cardiovascular Medicine
  • Willimantic
Bleich, Steven, MD Bleich, Steven, MD 860.522.0604
  • Cardiovascular Medicine
  • Glastonbury
Padegimas, Allison Seinmetz, MD, FACC Padegimas, Allison Seinmetz, MD, FACC 203.265.9831
  • Cardiovascular Medicine
  • Wallingford
  • Cheshire
  • West Hartford
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Pousatis, Sheelagh, MD Pousatis, Sheelagh, MD
4.9 /5
82 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Carroll, Lenore Ann, APRN Carroll, Lenore Ann, APRN
4.8 /5
187 surveys
860.636.2010
  • Cardiovascular Medicine
  • Middletown
  • Old Saybrook
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Altszuler, David Jay, MD Altszuler, David Jay, MD 203.265.9831
  • Cardiovascular Medicine
  • Glastonbury
  • Wallingford
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Barbour, Mohamad Firas, MD Barbour, Mohamad Firas, MD
4.9 /5
177 surveys
860.242.8756
  • Cardiovascular Medicine
  • Bloomfield
Holub, Meredith Sullivan, DO Holub, Meredith Sullivan, DO
4.9 /5
192 surveys
860.524.4550
  • Pulmonary Medicine
  • Hartford
  • Wethersfield
  • Glastonbury
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Srinivasan, Aparna, MD Srinivasan, Aparna, MD 203.845.2160
  • Cardiovascular Medicine
  • Norwalk
Panetta, Andrew David, PA-C Panetta, Andrew David, PA-C 860.696.5520
  • Cardiac Surgery
  • Hartford
Pawar, Sumeet Sanjeev, MD Pawar, Sumeet Sanjeev, MD
4.9 /5
295 surveys
860.572.5400
  • Cardiovascular Medicine
  • Mystic
  • Westerly
  • Old Lyme
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Dada, Marcin R., MD Dada, Marcin R., MD
4.8 /5
34 surveys
860.224.5694
  • Cardiovascular Medicine
  • New Britain
  • Plainville
  • Prospect
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Nasir, Usama Bin, MD Nasir, Usama Bin, MD
4.8 /5
126 surveys
860.242.8756
  • Cardiovascular Medicine
  • Bloomfield
  • Enfield
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Alter, Eric Louis, MD, FACC, RPVI Alter, Eric Louis, MD, FACC, RPVI 203.254.2452
  • Cardiovascular Medicine
  • Fairfield
  • Milford
  • Stratford
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Prisco, Jessica L., APRN Prisco, Jessica L., APRN
4.7 /5
125 surveys
860.886.0023
  • Cardiovascular Medicine
  • Norwich
Diamond, Kristen Murrone, PA-C Diamond, Kristen Murrone, PA-C 860.242.8756
  • Cardiovascular Medicine
  • Bloomfield
Patel, Boskey, DO, FACC Patel, Boskey, DO, FACC 860.524.3070
  • Interventional Cardiology
  • Hartford
Vlismas, Peter Paul, MD Vlismas, Peter Paul, MD 860.972.1212
  • Advanced Heart Failure and Transplant
  • Hartford
  • Bridgeport
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Jaffer, Osman Arif, MD, RPVI Jaffer, Osman Arif, MD, RPVI
4.7 /5
37 surveys
203.732.7455
  • Interventional Cardiology
  • Derby
  • Oxford
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Cole, Jennifer L., APRN, FNP-C Cole, Jennifer L., APRN, FNP-C 860.972.1212
  • Cardiovascular Medicine
  • Fairfield
  • Trumbull
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Peckham, Elizabeth Nicole, APRN Peckham, Elizabeth Nicole, APRN
4.9 /5
54 surveys
860.886.0023
  • Cardiovascular Medicine
  • Norwich
  • Plainfield
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Martin-Beaulieu, John, APRN Martin-Beaulieu, John, APRN 860.972.1506
  • Cardiac Electrophysiology
  • West Hartford
Jaiswal, Abhishek, MD Jaiswal, Abhishek, MD
5.0 /5
75 surveys
860.972.1212
  • Advanced Heart Failure and Transplant
  • Hartford
  • Hamden
  • Fairfield
  • Bridgeport
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Shippee, Jessica L., APRN Shippee, Jessica L., APRN 860.972.1695
  • Cardiovascular Medicine
  • Hartford
Beach, Yan, APRN Beach, Yan, APRN 860.276.5107
  • Cardiovascular Medicine
  • Southington
Gifford, Edward D., MD, FSVS, FACS, RPVI Gifford, Edward D., MD, FSVS, FACS, RPVI
4.9 /5
84 surveys
860.522.4158
  • Vascular Surgery
  • Hartford
  • Mystic
  • Norwich
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Kunkes, Jordan H., MD Kunkes, Jordan H., MD
4.9 /5
321 surveys
860.522.5712
  • Cardiovascular Medicine
  • Hartford
Bailey, Allison L., PA-C Bailey, Allison L., PA-C
4.9 /5
135 surveys
860.522.4158
  • Vascular Surgery
  • Glastonbury
  • Farmington
  • Mystic
  • Norwich
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Dasilva, Bliss, APRN Dasilva, Bliss, APRN
  • Cardiovascular Medicine
  • Cheshire
  • Bloomfield
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Neveu, Jaclyn Rose, PA-C Neveu, Jaclyn Rose, PA-C
4.9 /5
145 surveys
860.889.9180
  • Cardiac Electrophysiology
  • Norwich
  • Wallingford
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Powner, Jordan, DO Powner, Jordan, DO
4.7 /5
105 surveys
860.524.4550
  • Pulmonary Disease
  • Enfield
  • Hartford
  • Willimantic
  • Glastonbury
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Leach, Olivia, PA-C Leach, Olivia, PA-C
4.8 /5
57 surveys
860.696.5520
  • Cardiothoracic Surgery
  • Hartford
Sanabria, Christine, APRN Sanabria, Christine, APRN 860.972.9495
  • Cardiovascular Medicine
  • Hartford
Russell, Jessica, APRN Russell, Jessica, APRN 203.576.5708
  • Cardiac Surgery
  • Bridgeport
Angeli, Angelina, APRN Angeli, Angelina, APRN 203.678.1050
  • Cardiac Electrophysiology
  • Wallingford
  • Bloomfield
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Lobraico-Fernandez, Jessika, PA-C Lobraico-Fernandez, Jessika, PA-C 203.683.5100
  • Cardiovascular Medicine
  • Bridgeport
O'Neill, Amanda, APRN O'Neill, Amanda, APRN 203.576.6177
  • Cardiovascular Medicine
  • Bridgeport
Dawiczyk, Stephania, APRN, FNP Dawiczyk, Stephania, APRN, FNP
4.8 /5
172 surveys
860.886.0023
  • Vascular Surgery
  • Norwich
  • Mystic
  • Hartford
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Ringuette, Keith, PA-C Ringuette, Keith, PA-C
4.7 /5
37 surveys
860.886.0023
  • Cardiovascular Medicine
  • Norwich
Tobon, Karisa, PA-C Tobon, Karisa, PA-C 860.489.1132
  • Cardiovascular Medicine
  • Torrington
Kelleher, Sean, APRN Kelleher, Sean, APRN 860.972.5499
  • Cardiovascular Medicine
  • Hartford
Miller, Alexa, APRN, DNP Miller, Alexa, APRN, DNP 203.445.7093
  • Cardiovascular Medicine
  • Trumbull
  • Fairfield
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Aitcheson, Elizabeth, MD, MPH, RPVI Aitcheson, Elizabeth, MD, MPH, RPVI
4.9 /5
112 surveys
860.522.4158
  • Vascular Surgery
  • Hartford
  • Mystic
  • Norwich
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Murusky, Kristen, APRN Murusky, Kristen, APRN 203.867.5300
  • Cardiovascular Medicine
  • Guilford
  • Branford
  • Hamden
  • New Haven
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Sanders, Graig, PA-C Sanders, Graig, PA-C
4.8 /5
263 surveys
203.867.5300
  • Cardiovascular Medicine
  • Guilford
  • Hamden
  • Branford
  • New Haven
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Reso, Jessica, PA-C Reso, Jessica, PA-C 860.696.5520
  • Cardiac Surgery
  • Hartford
Wachtarz, Amber, APRN, DNP Wachtarz, Amber, APRN, DNP
4.8 /5
45 surveys
860.242.8756
  • Cardiovascular Medicine
  • Bloomfield
Bell, Jennifer, MD Bell, Jennifer, MD
5.0 /5
33 surveys
860.972.1212
  • Advanced Heart Failure and Transplant
  • Hartford
  • Bridgeport
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Asseo, Corrie, PA-C Asseo, Corrie, PA-C 203.576.5708
  • Cardiac Surgery
  • Bridgeport
Phelan, Christopher, MD, FACC Phelan, Christopher, MD, FACC
4.9 /5
234 surveys
860.522.5712
  • Cardiovascular Medicine
  • Hartford
Our Coronary Bypass Locations: