Best CABG Treatment in India

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Coronary Artery Bypass (Heart Bypass) Surgery in India

Coronary Artery Bypass Graft Surgery, commonly known as heart bypass surgery, is a surgical procedure for people who are suffering from severe Coronary Artery Disease (CAD). This open heart surgery helps them to restore blood flow in a blocked or narrow artery. The accumulation of cholesterol and fatty substances over a period of time can narrow coronary arteries or block them. This condition hinders the normal blood flow through blood vessels, leading to heart attack. An efficient surgeon takes a blood vessel from a body part and uses it to restore the blood flow. A blocked or narrowed coronary artery enhances the strain on the heart, which leads to heart failure. The best heart bypass surgeon in India can divert the blood flow away from the blocked artery and improve heart health.

Who should consider CABG in India?

Doctors recommend Coronary Artery Bypass Graft Surgery for those who are diagnosed with Coronary Artery Disease (CAD). It is a good solution if this health condition has not improved with lifestyle changes or medications. Sometimes, blood flow to the heart cannot improve through less invasive treatment solutions, like angioplasty. CABG is a good recommendation for such patients as well. A cardiac surgeon in the top CABG hospitals in India might suggest CABG surgery for people with coronary artery disease who show the following symptoms:

Arterial blockage and heart damage
Narrowing of several heart arteries
Unhealthy arteries with a malfunctioning lower left chamber
Severe chest pain or angina and shortness of breath
High blood pressure and diabetes

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What is coronary artery bypass grafting (CABG)?

CABG is a kind of bypass surgery that forms a new path near severe narrow or blocked coronary arteries to recover the blood flow to the heart. This is the best treatment for severe artery blockage. The other names for this treatment are bypass surgery, coronary artery bypass surgery, and heart bypass surgery.

What are the types of CABG surgery?

There are 3 types of CABG surgery namely:

Traditional CABG
Off-Pump CABG
Minimally Invasive CABG.

How does CABG surgery differ from each other?

The CABG surgeries differ from each other in various manners. Take a look:

Traditional CABG – This is a very common procedure and during the surgery, the incision is made through the breastbone and a heart-lung bypass machine is used. During this procedure, the heart is stopped and a heart-lung machine is used to pump blood and perform the functions normally achieved by the lungs.

Off-pump CABG – In this procedure, the surgeons take an artery or a vein from another place in the body, then use the vessel to bypass the blocked part of the vessel and restore normal blood flow to the heart. In Off-pump CABG, the heart is not stopped and the heart-lung bypass machine did not use.

Minimally invasive CABG – During the surgery, the surgeon makes small incisions on the right side of the chest to reach the heart between the ribs. This is an advanced technique and instead of cutting large incisions through the breastbone, several small incisions are made. Minimally invasive heart surgery can be performed to treat a variety of heart conditions.

What are the risks and complications after CABG surgery?

As this procedure performs with advanced technologies, still there are some risk factors involved. After surgery, the possible complication includes bleeding, blood clots, irregular heartbeat, chest pain, infection in the wound, stroke, kidney problems, and memory problems. All these risks can be reduced by following the doctor’s instructions after surgery.

How is CABG surgery performed?

After anesthesia, the surgeon takes an extra blood vessel from another part of the body because the body has many other ways of getting blood to areas and it is safe to do as well. The surgeon then attaches both ends of the graft. During operation, the body connects with a heart-lung bypass machine which keeps the blood and oxygen flowing when the heart function is stopped at the time of operation.

Is bypass surgery safe for heart patients?

Yes, this procedure has been performed on patients for more than 50 years. These surgeries are serious but safe as well. The patient who has undergone this surgery gets relief from their problems without needing long-term medication.

What are the risks and complications involved?

Any kind of risk or complicated becomes high due to the following:

Age (older than 70 years)
Chronic lung disease
Disease obstructing the left main coronary artery
Diabetes
Chronic kidney failure
Poor heart muscle function

What happens after the surgery and for how many days I need to stay in the hospital?

After CABG surgery, the patient needs to stay in the hospital for approximately 6 nights, which includes 1 night in ICU and 1 night in HDU and the rest of the nights in a normal ward. Many patients start sitting on a chair the next day and start walking after 3 days of surgery and using stairs after 6 days. As it is a serious procedure, it is very normal for the patient to feel uncomfortable and tired. The prescribed medication helps the patient to reduce these.

What will happen when the patient goes home after CABG surgery?

In starting, the patient should indulge in walking and light exercise as suggested by the physiotherapist in the hospital. After 2 weeks, the patient can slowly increase activity level and walking is very good at this time as well. The patient should always consult with doctors regarding the exercises and activities in which they should indulge or not. Sometimes, wound infections can occur in 9-10 days after surgery. If the patient experiences a wound and it becomes very painful or looks red, inflamed or swollen then contact with the doctor.

Doctors always recommend patients to attend cardiac rehabilitation sessions which help in getting full benefits of surgery.

Which investigations are required before CABG surgery?

There are many important investigations required before CABG surgery – blood test, ECG, EKG, Echocardiogram, chest X-ray, cardiac catheterization, and angiography. If any patient has a history of diabetes, high blood pressure, and high cholesterol, then the doctor deals with them first and then proceeds for CABG surgery.

What will be the recovery time after heart bypass surgery?

It will take approximately 6 to 12 weeks to recover from surgery. The patient should follow instructions given by the doctor for post-surgery care, which will help in healing and speedy recovery.

What are the symptoms of CABG surgery?

The symptoms for CABG depend on various factors such as Left main artery disease, Failed PTCA, narrowing of three coronary arteries, blockage of grafts from previous CABG, and Myocardial Infarction.

What are the results patients get after CABG surgery?

After surgery, most people feel better and remain symptom-free for approximately 10 to 15 years. Over time, there is a possibility of other arteries or new graft used in bypass surgery that will get blocked which requires another bypass or angioplasty. The results and longevity will depend on various factors such as proper medication, lower cholesterol and blood pressure, diabetes should be controlled, stop smoking, follow a healthy diet plan, maintain a healthy weight, regular exercise, and proper stress management.