Coronary artery bypass surgery

symptoms of coronary artery disease, investigation and treatment

Bypass surgery also called Coronary Artery Bypass Grafting (CABG) is a surgical procedure performed to improve the blood flow through blocked artery of heart wherein a blood vessel (graft)from another part of the bodyis taken and an alternative route or a bypass is created.

Heart Bypass surgery cost in India ranges from USD 4500 to USD 6000 which may vary depending upon the specialist chosen, hospital , number of days in hospital , follow up costs .

For most of the patients who have heart bypass surgery, the graft stays open and works well for many years.

atherosclerosis

 

 

 

 

 

 

 

The cardiologist will advice CABG depending upon the severity of coronary heart disease, history of previous treatments, general health condition. Bypass is generally performed in cases of

Severe Coronary artery disease or atherosclerosis where coronary arteries become narrow due to fatty deposits thereby reducing blood flow causing an increased risk of heart attack .

When the blockage cannot be managed by medication or balloon angioplasty

Symptoms of coronary artery disease

  • Angina
  • Myocardial infarction
  • Easy Fatigue,Breathlessness on slight exertion
  • Palpitations
  • Swelling in the hands and feet

Investigations 

  • Coronary Angiography performed using dye to study the flow of blood through the coronary arteries, thus locating blockages.
  • Stress Test performed while the heart is working hard due to physical exercises
  • Echocardiography provides information about the size, shape, functioning of heart’s chambers and valves

coronary artery bypass

 

 

 

 

 

 

 

 

Bypass Surgery is performed under General anaesthesia with incision in the chest.Grafts can be taken from saphenous vein from the leg, internal mammary artery (IMA), or most commonly radial artery.

The  procedure takes 4 to 6 hours after that the patent is shifted to intensive care unit for monitoring, the patient is hospitalized for  4-7 days.Full recovery may take around two to three months depending on the fitness, age and the severity of the problem.

After bypass surgery there is relief from Angina and improved quality of living and better survival rate.

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Bypass surgery does not prevent the blockage from recurring, but lifestyle and diet modifications are helpful in long run and patient can live symptom free for 10-15 years.

About the Author Tarun Batra

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