Why was bypass recommended?
The review brings the documented coronary anatomy, symptoms, ischemia testing, heart function, and proposed targets into one clinical picture.
Your Incision Should Be Your Decision™
CABG second opinion
Before bypass surgery, see the whole coronary decision.
A cardiac surgeon and cardiologist independently review the documented coronary anatomy, symptoms, heart function, testing, proposed bypass plan, and alternatives that may be relevant—then confer and co-sign one patient-facing report.
What happens next: A member of our team will call within 2 business hours. During business hours, a same-day conversation with a cardiac surgeon or cardiologist may be arranged only when clinically appropriate and a physician is available.
- 2
- independent physician reviews
- 1
- co-signed written report
- 24 hr
- only after all required records and imaging are received and confirmed complete
No referral or travel required for the written review. With your authorization, the records team can help obtain what is needed. Every review includes two independent physician reads and one co-signed written report; a live physician consultation can be added if you want it.
Case-specific reviewCABG / bypass surgery
Understand why CABG was recommended, whether another path is reasonable here, and what still needs clarification.
Message Us about my decisionOne clear way to begin
You do not need every record—or the right medical words—to begin.
Tell us what your angiogram showed, why bypass was recommended, and which part of the choice still feels unresolved. The first conversation is complimentary.
No referral · no travel · no obligation to purchase- 01
Tell us what you were told
A sentence is enough. Include what was recommended, what is scheduled, and what still feels unresolved.
- 02
We identify what the case needs
A member of the team helps determine which records and images matter and can help with retrieval after authorization.
- 03
Choose the support that fits
The written review always includes a cardiac surgeon, a cardiologist, and one co-signed report. Live physician time is optional.
The decision in front of you
Three questions a CABG review should make clearer.
There is no generic answer to bypass versus stents. The useful answer is grounded in your anatomy, symptoms, testing, health, goals, and the guideline-directed care that remains foundational with either path.
Are other paths reasonable in this record?
When clinically relevant, CABG is considered beside PCI or stenting, guideline-directed medical therapy alone, or further evaluation—without implying that every path fits every patient.
What risk, uncertainty, and next questions remain?
Estimated operative risk and model limitations, missing inputs, comorbidities, proposed targets, and publicly available procedure-specific information are placed in context when relevant and available.
Built from the reviewed record set
What shapes a coronary revascularization decision.
The report does not reduce the decision to one blockage or one risk score. It organizes the details that can change how the options are understood.
Coronary anatomy
Which vessels are narrowed, where the disease sits, whether left main or multivessel disease is present, and how complex the pattern appears.
Symptoms and ischemia
The symptoms, functional limits, prior testing, and documented evidence that heart muscle is not receiving enough blood.
Diabetes and other conditions
Diabetes, kidney or lung disease, prior stroke, frailty, and other factors that may affect both strategy and operative risk.
Left-ventricular function
Ejection fraction, regional wall motion, valve findings, and whether additional testing or viability context may matter.
Revascularization plan
The proposed bypass targets, whether the documented plan addresses the important territories, and where uncertainty remains.
Conduit considerations
Internal mammary and radial-artery considerations, vein grafts, and the case-specific reasons a conduit strategy may or may not fit.
Options, in context
Not “which treatment is best?”
Which path fits this record?
For non-emergency decisions, CABG and PCI are procedural paths. Guideline-directed medical therapy and risk-factor management remain foundational with either and may be the primary strategy in some cases. The review makes that context—and any need for more information—visible.
CABG
Surgical revascularization considered in the context of anatomy, symptoms, heart function, diabetes, operative risk, targets, and the proposed plan.
PCI or stenting
A catheter-based path considered when relevant to anatomy, complexity, prior treatment, procedural risk, and the goals of care.
Guideline-directed therapy
Lifestyle measures, medications, and risk-factor management remain foundational. The review distinguishes when this may be the primary strategy and what generally continues alongside CABG or PCI; medication changes remain with the treating clinicians.
More information first
When the record leaves important uncertainty, the report identifies the imaging, testing, documentation, or clinical question that may help resolve it.
WHITEGLOVE Insights™
Every page should add something you can use.
A patient-facing map of the CABG decision—built from the record, reviewed by a cardiac surgeon and cardiologist, and designed for the next conversation with your treating team.
See a sample report
Co-signed reviewWHITEGLOVE Insights™
Your bypass decision,
organized.
Illustrative report structure01What the record showsAnatomy · symptoms · testing · proposed plan 02What each path means hereCABG · PCI · medical context · further evaluation 03What to clarify nextRisk limits · missing information · questions for your clinicians
The plan already proposed
Your diagnosis, symptoms, cath findings, testing, medications, and treating team’s plan—clearly attributed to the source record.
CABG, PCI, and medical context
Reasonable paths compared when they are clinically relevant, including why a path may or may not fit the documented anatomy and circumstances.
Guideline and evidence map
The decision placed beside current professional guidance and the patient-specific details that make the guidance relevant.
Estimated operative risk and model limits
The current STS ACSD operative-risk estimate is considered when applicable, with its inputs, missing variables, date, and limitations made visible. Other scores are discussed only when documented in the source record.
Targets, completeness, and conduits
The proposed revascularization plan organized around its targets, completeness, and conduit considerations—without prescribing an operation.
What may still be missing
A practical view of incomplete imaging, testing, documentation, questions for your treating clinicians, and procedure-specific center information when relevant and publicly available.
Independent dual review
The operating-room view and the cardiology view—on the same record set.
Both plans include both independent reviews and both physician signatures. The physicians confer before the report is finalized.
Bypass targets · conduits · completeness · operative plan · surgical risk
Coronary anatomy · ischemia · PCI context · guideline-directed therapy · heart function
Ready for an independent read?
Put a cardiac surgeon and cardiologist on the same coronary record.
Every review includes both independent physician reads and one co-signed written report. A live physician consultation can be added when you want it.
How it works
From scattered records to one clear next conversation.
The report is delivered within 24 hours only after all required records and imaging are received and confirmed complete. Time spent gathering missing records is outside the 24-hour window.
- 01
Message us about the decision
Tell us what you were told, what is already scheduled, and what still feels unresolved. No referral or records are needed to begin.
- 02
We identify the record this case requires
Upload what you have or authorize the records team to help gather the records and imaging needed for the specific question in front of you.
- 03
Two physicians review independently
A cardiac surgeon and cardiologist examine the same record from their respective clinical perspectives, then confer.
- 04
Receive one co-signed report
The report is delivered within 24 hours only after all required records and imaging are received and confirmed complete. Time spent gathering missing records is outside the 24-hour window.
Clinical rigor
Source-linked reasoning, not a generic answer.
2021 · ACC/AHA/SCAICoronary revascularization guideline: patient-centered Heart Team decisions2023 · MultisocietyChronic coronary disease guidance: medical therapy and revascularization2025 · ACC/AHAAcute coronary syndromes guideline: urgent and time-sensitive careSociety of Thoracic SurgeonsAdult Cardiac Surgery Database operative risk calculator
Professional guidance and risk models inform—but do not replace—case-specific physician judgment. Model estimates have limitations and do not predict an individual outcome with certainty.
CABG second-opinion FAQ
Questions families ask before bypass surgery.
What is reviewed in a CABG second opinion?+
A cardiac surgeon and cardiologist review the records relevant to your decision, which may include the catheterization report and images, echocardiogram, ischemia testing, clinical notes, medications, laboratory results, prior cardiac procedures, and the proposed bypass plan. The final WHITEGLOVE Insights™ report organizes the current plan, reasonable alternatives when applicable, individual risk, missing information, and questions for your treating team.
Can the review compare bypass surgery with stents or guideline-directed medical therapy?+
Yes, when those paths are relevant to the documented anatomy and clinical situation. The report may compare CABG with PCI or stenting, guideline-directed medical therapy alone, or additional evaluation. Medical therapy and risk-factor management remain foundational whether or not revascularization is performed; medication changes stay with the treating clinicians.
What factors influence CABG versus PCI or stenting?+
The decision may be influenced by the pattern and complexity of coronary disease, left-main or multivessel involvement, diabetes, left-ventricular function, symptoms and ischemia, prior procedures, other health conditions, and patient preferences. The report places the documented factors in your case beside current guidance and evidence for discussion with your treating clinicians.
Does the report review the proposed bypass targets and grafts?+
The report can organize the documented target vessels, completeness of the proposed revascularization, and conduit considerations such as internal mammary, radial-artery, and vein grafts. It explains the relevant questions and uncertainties without prescribing a specific operation or replacing the surgeon responsible for your care.
How is my individual bypass-surgery risk assessed?+
The review considers the current STS Adult Cardiac Surgery Database operative-risk estimate when it applies and the required inputs are available. It identifies missing variables and places the estimate beside clinical details the model may not fully represent. Other scores are discussed only when they are already documented in the source record. Any estimate supports discussion; it does not predict an individual outcome with certainty.
Who reviews my CABG case?+
A cardiac surgeon and cardiologist independently review the same record set, then confer and co-sign one patient-facing WHITEGLOVE Insights™ report. Their two perspectives are included at every service level.
What are the service levels for a CABG second opinion?+
The written review, WHITEGLOVE Insights™, includes two independent physician reads and one co-signed written report; it does not include a live physician consultation. A second level adds one live consultation with one of the physicians who reviewed your case. WHITEGLOVEMD is a direct-pay service and does not submit insurance claims. Send us a message and the team will walk through what fits your situation.
When does the 24-hour turnaround begin?+
The report is delivered within 24 hours only after all required records and imaging are received and confirmed complete. Time spent gathering missing records is outside the 24-hour window. The records team can help identify and gather what is needed with your authorization.
Do I need a referral or have to travel?+
No referral or travel is required for the written medical-record review. You may choose the written review alone or add one live consultation with one of the physicians who reviewed your case.
What if bypass surgery is already scheduled?+
You can request a review after a surgery date has been set, but timing depends on how quickly the necessary records become available and how urgent your condition is. Continue following your treating team’s instructions, and do not delay urgent or time-sensitive care while waiting for a second-opinion service.
Does WHITEGLOVEMD replace my surgeon or cardiologist?+
No. WHITEGLOVEMD provides a limited-scope independent medical-record review. It does not provide emergency or ongoing treatment, order tests or medications, or replace the clinicians responsible for your care. The reviewing physicians’ role is defined in the consent and service terms.
The decision stays yours
Before bypass surgery, bring two complementary clinical perspectives to the same record.
Tell us what you were told, what is already scheduled, and what still feels unclear. You do not need every record—or the right medical words—to begin.
A member of our team will call within 2 business hours. During business hours, a same-day conversation with a cardiac surgeon or cardiologist may be arranged only when clinically appropriate and a physician is available.