Coronary artery disease is commonly characterized by the deposition of fatty substances in the heart walls, narrowing the coronary arteries, and restricting the blood supply to the heart. Coronary bypass grafting surgery is performed to divert blood flow away from a section of the blocked arteries in the heart. Heart bypass surgery does not cure heart disease but is rather performed to mitigate the symptoms caused by myocardial ischaemia, such as chest pain and breathlessness. Coronary artery bypass grafting surgery reduces the risk of mortality due to a heart attack.
Less supply of oxygen leads to dysfunction or dysregulation and organ damage; therefore, to treat these narrowed blood vessels, medication and stent therapies are employed initially, but in severe cases where there are multiple blocks in the heart, CABG surgery can serve as a better surgical option, as it involves grafting a healthy blood vessel from the leg or femoral artery to bypass the blocked arteries and restore the normal blood flow. The heart bypass surgery may be performed as an emergency treatment for a heart attack.
In contrast with other replacement and repair surgeries, coronary artery bypass grafting (CABG) is commonly used to significantly enhance the quality of life for patients with complicated cardiac disorders. This combined strategy effectively treats damage to vital heart valves (the aortic and mitral valves) and blocked arteries.
The surgeon will give you a detailed rundown of the surgery prior to the actual bypass surgery. After taking consent, your medical history will be reviewed. You should not eat for at least 8 hours before the surgery. The hospital may perform a pre-operative screening test.
General anaesthesia will be administered before starting the bypass surgery. After securing the intravenous access and putting in a catheter to drain the bladder, an incision is made in the leg or arm to remove a small portion of the vein to prepare a graft. Next, an incision is made on the chest to place the graft.
Making the Incision and Gaining Access: The surgeon makes a long incision on the chest through the center of the breastbone and splits the ribcage to access the heart.
Heart-Lung Bypass (On-Pump CABG): After reaching this phase, the surgeon may or may not use a heart-lung bypass machine (off-pump CABG or on-pump CABG) to take over the heart’s pumping function, thus allowing the heart to be temporarily stopped.
Harvesting the Graft(s): Firstly, the surgeon confirms the suitability of the veins from the chest (internal thoracic vein) or the leg (saphenous) and then removes and prepares them for the grafts.
Creating the Bypass: Subsequently, one end of the graft is attached to the coronary artery above the blockage, and the other end is attached just below the blockage and sewn to ensure proper blood flow, thus creating a new pathway for blood flow.
Restoring Heart Function: Once the latter is completed, normal functions are triggered using electrical stimulation, and the heart-lung bypass machine is turned off if attached.
Closure: The breastbone is either clamped or wired back in, and the incision is sealed with sutures.
The heart bypass surgery cost can range significantly from approximately Rs. 1,20,000 to Rs. 4,40,000. It depends on several factors, including the specific surgical technique, the length of the hospital stay, the severity of the condition, and the surgeon’s experience. It costs approximately Rs. 3,15,000.
| Description | Cost |
|---|---|
| Cost of CABG Surgery in India | Rs. 3,15,000 |
| Cost of CABG Surgery in Hyderabad | Rs. 1,20,000- Rs. 4,40,000 |
| Surgery details | Description |
|---|---|
| Expected hospital stay | 8 |
| Type of surgery | Major |
| Type of Anaesthesia | General |
| Number of days required to recover | 6-12 weeks |
| Duration of the procedure | 3-6 hours |
Because Heart Bypass is major surgery, it has some risks. Some of the most common complications associated with this surgery are bleeding, arrhythmia, renal dysfunction, stroke, infection of the chest wound and heart attack. The chances of developing any of the abovementioned risks are usually low. However, the outcome of the surgery depends on the patient’s condition before the surgery.
Navigating insurance coverage for CABG procedures can be complex, but at Yashoda Hospitals, we strive to make the process seamless.
If you’ve been advised to have a CABG surgery, get a free second opinion from our experts. Our experienced medical team will thoroughly review your case, providing valuable insights and recommendations to help you make well-informed choices about the procedure.
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At Yashoda Hospitals, Hyderabad, our expert team of cardiothoracic surgeons, physicians, and technicians ensures the most accurate and timely diagnosis and world-class treatment for patients from across the globe. With the unique combination of state-of-the-art technology, intuitive care, and clinical excellence, we are the healthcare destination for thousands of international patients in India. The department at Yashoda Hospitals in Hyderabad is recognised as one of the best hospitals for bypass surgery in India, with valve replacement, offering high success rates at a more affordable cost.
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Heart Bypass Surgery is suggested for those who experience severe chest pain caused by narrowing blood vessels supplying the heart. As the blood supply to the heart decreases, even light exercise can increase the severity of the symptoms. Because Heart Bypass Surgery is an open surgery, it is usually performed when other methods of reopening the blockage, such as angioplasty, fail. Heart Bypass Surgery can also be an emergency procedure during a heart attack.
Like any other surgery, CABG also carries a set of risks and complications that are minor, measurable, and treatable, such as wound infections, irregular heartbeats, and, rarely, a heart attack.
When severe blockages in the coronary arteries significantly block the blood supply to the heart musculature, leading to angina and the risk of heart attacks, despite alternative medical treatments.
The optimal choice between the two depends on the patient’s overall condition, location, number of blockages, and more. While CABG is performed for multiple blocked arteries, angioplasty is performed for a single artery or less severe blockages.
It usually takes 12 weeks to recover completely from Heart Bypass Surgery. However, if you suffer from any complications during or after the surgery, the recovery may take longer than 12 weeks. Therefore, regular follow-up visits should be done to assess the recovery rate.
Yes! CABG, or heart bypass surgery, is a type of open-heart surgery in which the patient’s heart is opened and replaced with a heart-lung machine that pumps blood throughout the body. However, with the traditional approach and the development of the surgery over time, CABG can now be performed minimally invasively, involving smaller incisions and removal of the heart-lung machine.
The person’s life expectancy after undergoing Heart Bypass Surgery can be equivalent to that of an average person. However, Heart Bypass Surgery does not treat the underlying condition. Hence, the disease can come back again if preventive measures are not taken. Therefore, after undergoing Heart Bypass Surgery, treatment of heart disease should be given importance as well.
The exact duration of the surgery varies based on several factors, such as the number of blockages, the severity of the condition, the surgery type, and whether a heart-lung machine is involved. The surgery typically takes between 3 and 6 hours to complete.
You may experience brief episodes of sharp pain in the chest after undergoing Heart Bypass Surgery. In addition, the site of the incision on the chest and the area from which the vein was taken may become site and swollen. However, you will get relief from these symptoms within 4-6 weeks.
Factors such as improvement in lifestyle choices, medications, angioplasty and stenting, a minimally invasive approach, and other non-invasive therapies help delay or avoid the bypass surgery.
Yes, you can lead a normal life after undergoing Heart Bypass Surgery. The prognosis following Heart Bypass Surgery is usually good. Your condition will improve and your life expectancy can be compared to a healthy person. Moreover, you won’t experience symptoms such as chest pain and breathlessness after undergoing Heart Bypass Surgery.
The fastest way to recover from Heart Bypass Surgery is to regularly maintain a healthy lifestyle and exercise. It would be best if you walked daily within your limits, while not exerting yourself. You should take adequate rest. Since the surgery can be emotionally and physically draining, you should uplift your mood by visiting your friends and joining support groups.
It would be best to avoid all the activities or exercises that involve pulling across the chest, like rowing machines or lifting heavyweights. In addition, you should protect your incision site from sunburn. It would help if you stopped exercising immediately when you start feeling breathless or dizzy. Dyspnea after Heart Bypass Surgery is common. However, it would be best if you did not exert yourself after feeling dyspneic.
After undergoing Heart Bypass Surgery, you may feel a little sore or tired for the first week immediately after the surgery. There may be brief, sharp pain in the chest. You may experience pain in the chest, upper back, and shoulders. You may experience soreness on the incision site for a few weeks after the surgery.
It would be best to stay calm and relaxed before undergoing Heart Bypass Surgery. You should not be stressed and maintain a positive attitude before undergoing surgery. You may meditate for a few minutes or do yoga before entering the operation theatre. In addition, you may practice deep breathing exercises to calm your mind. Before undergoing Heart Bypass Surgery, you should understand everything about your disease, the surgery, and the process of recovery after the surgery.
It is advisable to sleep on the back after the surgery for at least a month. After that, you may sleep on your side. Although the best sleeping position after the surgery is to sleep upright, you may rest on the back and side.
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