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Authors:  (Matteo Trezzi, Andrea Daprati, Marco Gennari, Francesco Alamanni, Alessandro Parolari, Department of Cardiovascular Disease, Cardiac Surgery Unit, IRCCS Monzino Cardiac Centre,Milan, Italy, and others)
Abstract:
Myocardial revascularization has been an established cornerstone in the treatment of coronary artery disease for almost half a century. Coronary artery bypass grafting (CABG), used in clinical practice since the 1960s, is the most intensively studied surgical procedure ever undertaken, while percutaneous coronary intervention (PCI), used for over three decades, has been subjected to more randomized clinical trials (RCTs) than any other interventional procedure.
Nowadays is fundamental to elucidate the most appropriate indications to the treatment of the myocardial ischemia in order to improve the patientsí outcomes. Moreover, inappropriate use of revascularization may generate unwarranted costs to the health care system. The ACC/AHA in 2009 and the ESC/EACTS in 2011 have elaborated useful guidelines to myocardial revascularization [1,2,3,4].
Aim of this chapter is to investigate the most up-to-date knowledge concerning coronary artery bypass surgery in terms of indications, procedures and outcomes. 


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Bypass Surgery: Indications, Procedures and Outcomes (pp.123-138)