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What is Coronary Artery Bypass Grafting?
Coronary artery bypass surgery is a procedure used to create a new path for blood to flow in blocked or partially blocked arteries in the heart. In this procedure, a healthy blood vessel is taken from the chest or leg area and then it is connected below the blocked heart arteries. The newly created pathway improves blood flow to heart muscles. Coronary artery bypass surgery does not treat the heart disease that led to a blockage, like coronary artery disease or atherosclerosis. But this could reduce symptoms like chest pain as well as shortness of breath. The surgery, also called heart bypass surgery, might reduce the risk of heart disease-linked death. In traditional CABG, the heart is stopped, and a heart-lung bypass machine is used for pumping blood throughout your body. This approach is still commonly used, but other techniques, known as “off-pump” procedures might be an option for some people because the heart doesn’t need to be stopped.
Types of Coronary Artery Bypass Grafting
There are two types of CABG operations off-pump and on-pump surgery.
Off-Pump CABG: An off-pump method is a new, minimal access procedure that eliminates the requirement for the surgeon to stop the heart and place an individual on bypass. The surgeon directly operates on the heart, lessening the risk for preoperative bleeding and stroke linked with the on-pump procedure. The selection of an on- versus off-pump technique partially depends on the overall health of the patient.
On-Pump CABG: On-pump CABG is a traditional method for performing bypass surgery. More than 70% of bypass surgeries are done on a stopped heart. In on-pump heart bypass, medication is used to stop the heart. In this procedure, a heart-lung machine performs the function of the heart and lungs in the surgery. This heart-lung machine is also known as a cardiopulmonary bypass machine. The machine has a pump which makes it function like the heart and a membrane oxygenator to act like the lungs. The patient is placed on cardiopulmonary bypass in open heart surgery. The advanced heart-lung machine help keep oxygen-rich blood circulating in the body during coronary artery bypass surgery.
Causes and Symptoms
The diagnosis of patients who required the surgery or not we have to check the basic symptoms of patients like Chest pain (angina), fatigue, shortness of breathing, most of the time Palpitations, dizziness or lightheadedness, sweating and nausea or indigestion. If these symptoms are found in the patients then may be he required open heart surgery. To confirm that patients requires CABG, patient has to do ECG, Echo and most importnatly Coiary Angiography.
Risk & Complications
Like many other procedures, Coronary Artery Bypass Grafting may also be associated with certain complications.
Bleeding: There can be bleeding during or after the surgery. The compatible blood will be kept handy so that it can be infused in case of excessive bleeding.
Blood clots: There may be blood clots as a result of CABG that could lead to stroke, heart attack, or lung problems.
Infection: Infection is the one of the most common risks associated with surgery. In CABG, there may be infection at the incision site.
Pneumonia: Postoperative pneumonia is a common hospital-acquired infection after CABG, and this increases mortality risk and length of hospital stay.
Other problems that may be experienced after CABG are breathing problems, pancreatitis, kidney failure, abnormal heart rhythms, and failure of the graft.
Preparation of Treatment
Coronary artery bypass surgery might be planned before the procedure. Before going into hospital, you need to a have long shower, cut your nails and wash the hair. Wear washed clothes to prevent taking infectious bacteria to the hospital, which may increase the risk of developing any complications. You have to get all required tests done before undergoing the surgery. You will need to stop using warfarin and other blood-thinning medicine. The patient will also be asked to fast after midnight before surgery. The doctor will let you know if you have to make any changes to your diet and lifestyle before the procedure and make any alterations to medicines you take.
Best Doctors for Coronary Artery Bypass Grafting (CABG) Treatment
Dr. Sushant Srivastava30+ Yrs. Exp.MBBS, MS (General Surgery), MCh (Cardio Thoracic and Vascular Surgery)Chairperson Heart & Lungs Transplant
Dr. Vijay Kohli43+ Yrs. Exp.MBBS, MS - General Surgery, MCh - Cardiovascular and Thoracic SurgeryCardiothoracic Surgeon
Dr. Naresh Trehan40+ Yrs. Exp.MBBS, Diploma in Cardiology, Diplomater, American Board of Cardiology CardiologistChairman & Managing Director
Best Hospitals for Coronary Artery Bypass Grafting (CABG) Treatment
Coronary Artery Bypass Graft surgery (CABG), isn't a disease on its own but it's a solution for a condition called Coronary Artery Disease (CAD). It happens when plaque builds up in the coronary arteries and nutrients to the heart muscle. This plaque buildup makes the arteries narrower, which restricts the blood flow to the heart. CABG is a surgery to open to the blockage arteries.
Cost of the treatment
Cost of Coronary Artery Bypass Grafting
The Coronary Artery Bypass Grafting in India ranges from $2,700 to $7,000. CABG cost in India may vary from person to person depending on the hospital you choose, the qualification and experience of the surgeon, the age of the patient, preexisting conditions, surgical complications, the technology used and the type of surgery opted for. The cost of conventional coronary artery bypass surgery in India ranges from $2,700 - $5,500. However, the cost of minimally-invasive coronary artery bypass surgery in India ranges from $6,000 to $7,000.
Recovery after Coronary Artery Bypass Grafting
Recovery after a coronary artery bypass graft surgery may take time and different patients recover at slightly different speeds. Typically, the patient can sit in a chair after one day, walk after three days, and walk down and upstairs after 6 or 7 days. In most cases, people can fully recover within 12 weeks of the surgery. During recovery time, the doctor will tell you to avoid any strenuous activities, which may put much stress on the heart and incisions. Your healthcare provider will also tell you when you can resume your regular activities such as exercise and driving. Before leaving the hospital, you will be given complete instructions for medications, exercise, ongoing wound care, follow up appointments and resuming normal activities. You will also be told to join a cardiac rehabilitation program that helps you to heal, recover and resume your everyday routine.
Award-winning CEO of Marlin Medical Assistance Pvt. Ltd
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