Should coronary artery bypass grafting be performed at the same time as repair of a post-infarct ventricular septal defect?1

Abstract

Concomitant CABG at the time of VSD repair does not affect early mortality nor confer survival benefits. There seems to be no demonstrable benefit in revascularisation at the time of repair and, therefore, it may be unnecessary to perform CABG or coronary angiography in these patients.