Personalized, physician-led post-cabg long-term care with direct access to your cardiology team. Proactive monitoring. Faster interventions. Better outcomes.
Coronary artery bypass grafting (CABG) remains the gold standard revascularization strategy for patients with left main disease, multivessel coronary artery disease, and diabetes with multivessel disease, as affirmed by the 2021 ACC/AHA/SCAI Coronary Revascularization guidelines. Over 150,000 CABG procedures are performed annually in the United States, and while surgical mortality has declined to under 2% at experienced centers, the long-term success of the operation depends critically on what happens after hospital discharge. Saphenous vein grafts (SVGs), which comprise the majority of bypass conduits, have a 10-year patency rate of only 50-60%, with intimal hyperplasia and accelerated atherosclerosis being the primary failure mechanisms. Left internal mammary artery (LIMA) grafts fare significantly better, with 90%+ patency at 10 years, but even these require surveillance. Aggressive secondary prevention — statin therapy, antiplatelet management, blood pressure control, diabetes optimization, and cardiac rehabilitation — is essential to protect grafts and native vessels. Our concierge post-CABG program provides structured long-term surveillance with scheduled graft imaging, aggressive risk factor management, and proactive intervention when graft disease is detected early — extending the durability of your bypass surgery and reducing the need for repeat revascularization.
After CABG surgery, patients often experience a fragmented handoff from surgeon to cardiologist to primary care physician, with surveillance gaps that allow graft disease to progress silently. Standard post-CABG care may involve an annual visit with stress testing only if symptoms develop — a reactive approach that misses early graft stenosis. Concierge post-CABG care provides a unified cardiac surgeon and cardiologist team managing all aspects of recovery and long-term surveillance, scheduled coronary CT angiography for graft assessment, aggressive LDL reduction targeting < 55 mg/dL per 2019 ESC/EAS guidelines to slow graft atherosclerosis, and structured cardiac rehabilitation followed by a personalized long-term exercise program. This proactive model catches graft problems years before they cause events, enabling percutaneous intervention on early stenoses rather than emergency re-operation on occluded grafts.
Direct physician access, proactive monitoring, and personalized care plans. Concierge cardiology starting at $295/month.