Rhode Island Hospital
593 Eddy Street
Providence, RI 02903
. . . . . .
Frank Sellke, MD
Arun K. Singh, MD
Afshin Ehsan, MD
Neel R. Sodha, MD
Hospitals across the country are experiencing a decline in the number of
bypass surgeries due to more effective medication to lower cholesterol,
the use of angioplasty and stents, and behavior modifications such as
exercise and diet. Those patients who do require bypass surgery may have
more complex medical problems. They often have extensive coronary artery
disease, are older and have co-morbidity factors such as diabetes, lung
disease, high blood pressure, abnormal kidney function, peripheral
vascular disease and previous heart attack with multiple stents.
However, with the advent of advanced technology, better perioperative
care and improved surgical techniques, the chances of success for even
very ill patients are better than ever. Our experienced cardiac surgical
team has continued to perform coronary artery bypass surgery with lower
morbidity and mortality rates than the national average for many years.
Our results exemplify the level of excellence that is standard at our
The internal mammary artery is used as a bypass vessel in the majority
of our patients. This artery, located inside the chest wall, is known
for its extended patency and function and is associated with improved
long-term survival. Vessels used for bypass have long been limited to
leg veins (saphenous veins). Today, we are more likely to use arteries
taken from the arm, because arteries appear to last longer than veins.
Nearly all of the vessels are taken by minimally invasive endoscopic
(camera) techniques resulting in less painful incisions and more
cosmetically pleasing results.
We also have the capability to do “offpump” coronary bypass surgery,
which can be particularly helpful for patients with advanced lung or
kidney disease, as well as certain bleeding disorders.