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Coronary Artery Bypass Graft Surgery, also known as CABG, is a procedure that focuses on restoring blood flow to the regions of the heart experiencing insufficient circulation. The procedure usually addresses conditions like a heart attack or coronary artery disease. Depending on the severity of the patient's condition, it is conducted through various methods, such as Minimally Invasive techniques, Off-pump CABG (performed while the heart is beating), Robot-assisted, and hybrid approaches.
Pre-procedure: Before the procedure, you will undergo many heart tests, including lab tests, an electrocardiogram, a cardiac stress test, and imaging tests such as X-ray angiography and computer tomography (CT) angiography.
During the procedure: Life support systems, such as intubation and ventilation, intravenous lines, urinary catheters, and a heart-lung machine, are employed. An incision is made in the chest, and the harvested blood vessel is utilised to create a bypass above and beyond the blocked artery. The surgeon may restart your heart if it is stopped to restore blood flow, and then the incision is closed using staples and sutures.
Post-procedure: You will be transferred to a post-recovery room and further monitored for complications.
Consult our cardiologists if you need Coronary Artery Bypass Graft Surgery in Broadway.
Commonly known as bypass surgery, this is a procedure done to restore blood flow in a narrow or blocked artery. The procedure is open heart surgery and we have expertise surgeons
The duration of CABG Surgery typically lasts between 3 and 6 hours, though it depends on the severity of your condition and the number of blocked arteries present. In cases where there are multiple blocked arteries, multiple bypasses may be necessary. These can be double (2), triple (3), quadruple (4), or quintuple (5) bypasses. Our specialists will inform you regarding the expected duration of the procedure based on your case.
Similar to any Open or Minimally Invasive Surgeries, CABG has its own potential risks or complications, some of which include:
Excessive bleeding
Stroke
Infection around the wound
Graft failure
Renal failure
Postoperative atrial fibrillation
Peri-operative death
Confusion or memory problems
It is crucial to understand that the risks that manifest during the procedure outweigh the benefits of the procedure. If a Minimally Invasive approach is deemed unsafe then the doctor makes a switch to open surgery. Our specialists inform you of possible complications that can occur and will assure you of timely interventions if any risks manifest.
The recovery period varies among individuals for CABG Surgery; nonetheless, individuals remain hospitalised for 6 to 8 days. Patients may take at least 5 to 6 days post-surgery to do normal activities with limitations, such as sitting, walking, and climbing stairs. Moreover, it may take about 6 weeks for individuals to resume most activities, like working and driving, although physically demanding jobs may require a longer recovery period. Full recovery is typically achieved within 12 weeks for most patients.
In most cases, you might have to make certain modifications in your daily life to prevent further episodes of heart-related diseases. General lifestyle modifications include the following:
Maintaining a healthy and balanced diet, such as starchy foods, fruits, vegetables, and oily fish like mackerel and sardines
Refraining from smoking, drinking alcohol, or chewing tobacco
Adhering to the prescription schedules prescribed by our specialists
Sticking to your follow-up appointments and attending cardiac rehabilitation programmes
Taking care of your mental health
Performing daily exercise and reaching a healthy weight range
Getting a good sleep
Follow-up appointments are necessary to check your cardiac health and the progress of your overall well-being. Our surgeons will schedule follow-up appointments based on your availability. Nevertheless, cardiologists usually schedule your first follow–up appointment within 1 week post-surgery, followed by another appointment six weeks after the initial visit, although this may vary. Yearly follow-ups are done after you fully recover as part of regular annual checkups to monitor your heart health.
Symptoms you should watch out for that may indicate a problem or complication post-surgery include the following:
Excessive fluid or pus discharge near the incision
Heightened or aggravated discomfort near your chest incision
Alterations in skin tone, such as swelling or redness in your chest incision
Facial drooping or weakness on one side of the body
Elevated fever or chills
Heart palpitations
Rapid weight gain
Fluid retention (oedema) in the legs or feet
Feeling dizzy or lightheaded
Slurred speech
CABG Surgery is a procedure that aims to minimise symptoms such as chest pain and shortness of breath due to atherosclerosis or other coronary artery diseases by creating a bypass in the blood vessels for effective blood flow. Therefore, the surgery does not cure your heart condition. Treatments after CABG surgery usually include medications such as anticoagulants, anti-platelets, statins, and other medications such as beta blockers and angiotensin-converting enzyme (ACE) inhibitors. Surgeries are usually recommended in case any severe complications arise or if your bypass surgery fails.
The medical team at Manipal Hospitals, Broadway, Kolkata, recognises the emotional challenges patients may face upon receiving news of surgery. Our specialists are well-equipped to address any concerns or worries that you may have related to the procedure. Moreover, you can educate yourself and ask questions to our doctors, which will help you minimise any anxiety or stress.
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