18 doctors weighed in:

Is coronary artery bypass surgery compatible with varicose veins?

18 doctors weighed in
Dr. James White
Cosmetic Surgery
7 doctors agree

In brief: Yes and No

Coronary artery bypass requires some form of conduit for bypass.
Superficial veins from the lower limbs have been used for bypass. Smaller arteries from the underside of the chest wall have been used in favor of veins for the left side of the heart. Early enlarged varicose veins can still be used for bypass; however more advanced wall bulges and wall aneurysms Prohibit use of the varicosed veins.

In brief: Yes and No

Coronary artery bypass requires some form of conduit for bypass.
Superficial veins from the lower limbs have been used for bypass. Smaller arteries from the underside of the chest wall have been used in favor of veins for the left side of the heart. Early enlarged varicose veins can still be used for bypass; however more advanced wall bulges and wall aneurysms Prohibit use of the varicosed veins.
Dr. James White
Dr. James White
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Dr. Oliver Aalami
Surgery - Vascular
6 doctors agree

In brief: Depends

Coronary artery bypass can be done with either the internal mammary arteries under ther sternum (there is one on each side), the radial arteries in the forearms or the great saphenous veins in the legs.
If the veins in the legs are varicose, they are not used. If used they may become aneurysmal.

In brief: Depends

Coronary artery bypass can be done with either the internal mammary arteries under ther sternum (there is one on each side), the radial arteries in the forearms or the great saphenous veins in the legs.
If the veins in the legs are varicose, they are not used. If used they may become aneurysmal.
Dr. Oliver Aalami
Dr. Oliver Aalami
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Dr. John Landi
Phlebology
2 doctors agree

In brief: V V and bypass

It is true that the saphenous vein is commonly used for coronary bypass but a varicose vein cannot be used since its wall is weakend by the varicosity and when the vein is used in the coronary bypass, it will now carry high pressure arterial blood.
The weakened varicose vein wall will not be able to handle this arerial pressure and will most likely rupture. Therefore, varicose veins annot be used.

In brief: V V and bypass

It is true that the saphenous vein is commonly used for coronary bypass but a varicose vein cannot be used since its wall is weakend by the varicosity and when the vein is used in the coronary bypass, it will now carry high pressure arterial blood.
The weakened varicose vein wall will not be able to handle this arerial pressure and will most likely rupture. Therefore, varicose veins annot be used.
Dr. John Landi
Dr. John Landi
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Dr. Ted King
Phlebology
1 doctor agrees

In brief: Usually, yes

Although a varicose vein can't be used for a bypass graft, the internal mammary and/or radial arteries can be (and often times are) used.
Most prefer arterial bypasses rather than venous anyway.

In brief: Usually, yes

Although a varicose vein can't be used for a bypass graft, the internal mammary and/or radial arteries can be (and often times are) used.
Most prefer arterial bypasses rather than venous anyway.
Dr. Ted King
Dr. Ted King
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