Final answer:
The management of coronary aneurysms during CABG involves a combination of medical and surgical management. The surgical procedure includes grafting a vessel to bypass the occluded artery, while medical management includes lifestyle changes and medications to reduce cardiovascular risk factors postoperatively.
Step-by-step explanation:
The management of a coronary aneurysm when performing Coronary Artery Bypass Grafting (CABG) is typically a combination of medical and surgical management. While CABG is effective in bypassing occluded arteries, it does not increase longevity significantly. This surgical procedure involves grafting a blood vessel from another part of the body to bypass the blocked coronary artery. Medical management, including lifestyle changes and medications, plays an essential role in managing the condition postoperatively by reducing risk factors such as high cholesterol and blood pressure, including those for re-stenosis or further aneurysms.
Medications like cholesterol-lowering drugs, beta-blockers, nitroglycerin, calcium channel blockers, and drugs to reduce clotting are utilized along with dietary and exercise modifications. Therefore, a successful management plan for coronary aneurysms during CABG involves not just surgical intervention but also comprehensive ongoing medical care.