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Heart Bypass Surgery in Bhubaneswar

Coronary Artery Bypass Graft Surgery

Heart Bypass Surgery in Bhubaneswar

The Coronary Artery Bypass Graft (CABG) surgery involves connecting a blood vessel from another part of the body (often the chest, leg, or arm) to the coronary artery above and below the restricted area or blockage. This new blood vessel is referred to as a graft. The number of grafts required will be determined by the severity of your coronary heart disease (CAD) and the number of coronary blood channels that are restricted. These are the blood arteries that bring oxygen and nutrients into the heart muscle. CAD is caused by the buildup of fatty material within the artery walls. This deposit narrows the insides of the arteries, reducing the flow of oxygen-rich blood reaching the heart muscle. Coronary Artery Heart Bypass surgery in Bhubaneswar typically lasts three to six hours. However, it may take longer depending on the number of blood vessels linked. Blood vessels can be obtained from the leg (saphenous vein), the chest (internal mammary artery), or the arm (radial artery). Other blood arteries in these locations can compensate for their loss following surgery.

At Manipal Hospitals in Bhubaneswar, we are committed to providing comprehensive care and support throughout your CABG surgery journey. Our team of skilled cardiologists, surgeons, and medical staff work together to ensure the best possible outcomes and support your recovery process. 

 

Heart Bypass Surgery in Bhubaneswar

FAQ's

CABG could be used to treat: 

  • Individuals with coronary artery disease (CAD) who have persistent chest pain despite medication.

  • Patients with CAD who have had a heart attack that cannot be managed with percutaneous coronary intervention (PCI), especially if they have multiple blocked or narrowed coronary arteries.

  • Those experiencing severe or life-threatening arrhythmias (irregular heart rhythms) that cannot be controlled by other means.

  • Individuals with heart failure where CAD is a contributing factor.

  • Patients with diabetes-related coronary artery disease, particularly if other treatments have been ineffective.

  • Individuals who have had a failed PCI procedure or other interventions.

The procedure may differ depending on your specific situation and healthcare provider's protocols. Generally, CABG follows this procedure: 

Pre-Surgery Preparation:

  • You will be asked to remove any jewellery or other items that could interfere with the operation.

  • You will be asked to put on a hospital gown and empty your bladder before the surgery.

  • A healthcare professional will insert an intravenous (IV) line into your arm or hand to administer medications and fluids. Other catheters will be inserted into your neck and wrist to monitor your heart and blood pressure, as well as to collect blood samples.

Anesthesia and Initial Monitoring:

  • You will lie on your back on the surgical table. The anesthesiologist will monitor your heart rate, blood pressure, respiration, and blood oxygen level throughout the procedure.

  • Once you are sedated (put into a deep sleep), a breathing tube will be placed in your throat and connected to a ventilator to assist with breathing during the surgery.

  • To empty your bladder, a catheter may also be placed.

Incisions and Preparation:

  • The skin in and around the surgical site will be cleaned with an antiseptic solution.

  • The surgeon will make incisions in one or both of your legs or one of your wrists to access the blood vessel(s) that will be used for the graft. These vessels are typically the saphenous vein from the leg, the radial artery from the arm, or the internal mammary artery from the chest.

  • The chosen vessel(s) will be removed, and the incisions will be closed.

Chest Incision and Heart Access:

  • A cut will be made down the centre of your chest, along the breastbone (sternum).

  • The sternum will be divided longitudinally (in the middle) to expose your heart.

Bypass Grafting:

  • The surgeon will connect one end of the grafted blood vessel to the aorta, the main artery leaving the heart, and the other end to the coronary artery below the blocked area.

  • This bypasses the blocked portion of the coronary artery, allowing blood to flow around the obstruction.

  • After the grafts are in place and blood flow to the heart muscle is restored, the surgeon will wire the sternum back together and close the chest incision with sutures or staples.

  • The breathing tube will be removed once you are able to breathe on your own, and you will be transferred to the intensive care unit (ICU) for monitoring as you wake up from anaesthesia.

After you are released from the hospital, you may encounter some side effects as a result of the surgery. These may include:

  • Decreased appetite

  • Swelling or tingling sensations at the site where the blood vessel graft was taken

  • Tiredness and difficulty sleeping, feeling irritated, and experiencing mood swings. It's natural to feel down after undergoing bypass surgery.

  • Difficulty passing stools

  • Muscle soreness or back discomfort

Side effects often resolve within 4 to 6 weeks of the procedure. A full recovery could take three months or more, depending on your fitness, age, and the severity of your ailment. 

Advantages of CABG include: 

  • Improves blood flow to the heart muscle by bypassing blocked or narrowed arteries.

  • Lowers the risk of heart attacks and relieves angina (chest pain) symptoms.

  • Patients could feel that their capacity for exercise and physical activity has improved.

  • Improves the heart's overall function and efficiency.

  • It has been shown that CABG increases long-term survival rates, particularly in patients with severe coronary artery disease.

Recovering from a CABG procedure takes time, and everyone recovers at a different pace. Most people feel significantly better within 2 to 3 weeks, but full recovery can take 6 to 12 weeks. Light activities can usually be resumed within 4 to 6 weeks, while more strenuous activities and returning to work might take about 2 to 3 months.

CABG typically lasts three to six hours. However, it may take longer depending on the number of blood vessels linked. 

Following CABG surgery, patients usually have a few key rules and restrictions to follow in order to promote healing and recovery:

  • Light home chores like setting the table, folding clothing, strolling, and climbing stairs should be fine. 

  • During the first three months, gradually increase the number and intensity of your activities. 

  • Avoid exercising outside when it is too cold or too hot. 

  • Stop if you are short of breath, dizzy, or experiencing chest pain. 

  • Avoid driving for at least 4 to 6 weeks, or until your doctor gives clearance. 

  • Take care of your surgical incisions as directed. Keep the area dry and clean, and keep an eye out for any infection symptoms.

  • Follow a heart-healthy diet to support recovery and long-term heart health. Limit salt, saturated fats, and cholesterol.

  • Refrain from smoking and limit alcohol consumption, as these can affect healing and heart health.

While the lifespan of grafts varies, many last 10 to 15 years. Graft function can be prolonged with the help of dietary modifications, medication compliance, and routine checkups.

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