Coronary artery disease (CAD) is one of the most common heart disease conditions and happens when cholesterol and other materials build up in the artery walls, narrowing the artery and reducing the blood supply to the heart. This leads to chest pain and in the worse cases to a stroke, which can damage the patient life quality or have even more serious consequences. One way to treat this condition is to provide the blood a new way to reach the hearth. Coronary artery bypass graft surgery (also referred to as CABG), consists in the removal of a blood vessel that can come from the patient's chest, legs or arms, and the consequent placing of it in the narrowing areas in order to bypass the blocked artery and guarantee the blood flow to the hearth.
These grafts are considered as perfect substitutes as they are not the only paths that bring blood and oxygen to those tissues, so they can inserted wherelse needed. Before of undergoing a CABG, the doctor will take a number of blood and other tests to see if the patient's body is strong enough to cope with the surgery. Patients with bleeding and blood clotting history could not be suitable for the operation. The procedure is performed under general anesthesia, and begins with an incision in the chest in order to access the sternum, after this, the sternum is cut as well to reveal the heart. The aorta (the main artery) gets clamped to make sure that the area will be free of blood and that the patient is not bleeding too much.
The surgeon will then remove the graft from the area he decided to be more suitable - most of the time is the saphenous vein in the leg - and then attaches the graft to the aorta walls and to the arteries of the chest wall. In this way, the blood can bypass the blockage and flow to the aorta and to the hearth. The whole surgery takes around 4 hours, but it can last more if multiple grafts are needed, in facs are possible.
Where can I find Coronary Artery Bypass Graft Surgery (CAGB) abroad?
Coronary Artery Bypass Graft Surgery (CAGB) at clinics and hospitals in India, Coronary Artery Bypass Graft Surgery (CAGB) at clinics and hospitals in Germany, Coronary Artery Bypass Graft Surgery (CAGB) at clinics and hospitals in Turkey, Coronary Artery Bypass Graft Surgery (CAGB) at clinics and hospitals in Thailand, For more information, read our Coronary Artery Bypass Graft Surgery (CABG) Cost Guide .,
| # | Country | Average Cost | Starting Cost | Highest Cost |
|---|---|---|---|---|
| 1 | India | $6800 | $6000 | $7600 |
| 2 | South Korea | $40000 | $40000 | $40000 |
There are many factors that can affect the costs
Coronary artery bypass graft surgery is performed to treat coronary artery disease, by replacing clogged arteries with blood vessels taken from other areas of the body. Coronary artery disease (CAD), occurs when there is a build-up of fat in the coronary artery, which prohibits the blood vessels from adequately circulating oxygen to the heart. Patients suffering with coronary artery disease will experience chest pain, shortness of breath, abnormalities in the heart rhythm, palpitations, and fatigue. The early stages of the disease may not display symptoms, however, once the symptoms begin to show and the disease progresses, patients should undergo coronary bypass graft surgery in order to prevent a heart attack from occurring.
Surgeons may replace several of the heart's arteries in one operation. Recommended for Patients with blockages in the coronary artery Time requirements Number of days in hospital 1 - 2 weeks Average length of stay abroad 4 - 6 weeks. After CABG surgery, the doctor should ensure that the patient's condition is stable before they travel home. Number of trips abroad needed 1. Time off work 6 - 12 weeks. Coronary bypass surgery improves the blood flow to the heart and treats heart disease. Time requirements Number of days in hospital 1 - 2 weeks Average length of stay abroad 4 - 6 weeks.
After CABG surgery, the doctor should ensure that the patient's condition is stable before they travel home. Number of trips abroad needed 1. Time off work 6 - 12 weeks. Time requirements Number of days in hospital 1 - 2 weeks Average length of stay abroad 4 - 6 weeks. After CABG surgery, the doctor should ensure that the patient's condition is stable before they travel home. Number of trips abroad needed 1. Time off work 6 - 12 weeks. Coronary bypass surgery improves the blood flow to the heart and treats heart disease.,
Before the surgery, the doctor will perform various tests to determine how many grafts are needed and which site is appropriate to harvest them from. Patients with complex conditions may benefit from seeking a second opinion before beginning a treatment plan.
A second opinion means that another doctor, usually an expert with a lot of experience, will review the patient's medical history, symptoms, scans, test results, and other important information, in order to provide a diagnosis and treatment plan. When asked, 45% of US residents who received a second opinion said that they had a different diagnosis, prognosis, or treatment plan.
An incision is made in the the graft site, usually the arm or leg, and the blood vessels are taken from the site. An incision is then made down the middle of the chest and the breast bone is divided and opened. The patient is then put on a bypass machine, which involves inserting tubes into the heart, to allow the heart to be stopped and the machine to pump the blood. The grafts are then attached above and below the coronary artery which is blocked, and sewn into place.
Patients may require a single, double, triple or quadruple coronary artery bypass graft, meaning more than one graft may need to be attached. Once the grafts have been stitched into place, the tubes are removed from the heart, the bypass machine is removed, and the heart is then restarted so that it can resume its function. The breastbone is then placed back together and secured by sewing it together with small wires and the skin on the chest is also sewn together with sutures. Drainage tubes may be inserted into the chest in order to help drain fluids and the area is then dressed with bandages.
Anesthesia; General anesthetic. Procedure duration The Coronary Artery Bypass Graft (CABG) Surgery takes 3 to 6 hours. Blood vessels are taken from a graft site and attached to the coronary artery to restore blood flow to clogged arteries.,
Post procedure care Patients will usually spend a short recovery period in an intensive care unit (ICU) before being moved to a normal treatment room for 1 to 2 weeks. After discharge from hospital, patients should expect to take things very easy for the first few weeks.
Patients will need to take 6 to 12 weeks off work during the recovery process. Possible discomfort Weakness, lethargy, discomfort, and soreness are all to be expected.,
Following are the best 10 hospitals for Coronary Artery Bypass Graft (CABG) Surgery in the world:
| # | Hospital | Country | City | Price | |
|---|---|---|---|---|---|
| 1 | Fortis Escorts Heart Institute | India | New Delhi | --- | |
| 2 | Thainakarin Hospital | Thailand | Bangkok | --- | |
| 3 | Medipol Mega University Hospital | Turkey | Istanbul | --- | |
| 4 | Apollo Specialty Hospital, OMR | India | Chennai | --- | |
| 5 | Hospital San Roque Maspalomas | Spain | Las Palmas | --- | |
| 6 | Policlinica Ntra. Sra. del Rosario | Spain | Ibiza | --- | |
| 7 | BLK-MAX Super Specialty Hospital | India | New Delhi | --- | |
| 8 | Polyclinique L'Excellence | Tunisia | Mahdia | --- | |
| 9 | Columbia Asia Hospital | India | Pune | --- | |
| 10 | Fortis Memorial Research Institute | India | Gurgaon | --- |
Following are the best doctors for Coronary Artery Bypass Graft (CABG) Surgery in the world:
| # | DOCTOR | SPECIALITY | HOSPITAL | |
|---|---|---|---|---|
| 1 | Dr Nandkishore Kapadia | Cardiothoracic Surgeon | Kokilaben Dhirubhai Amban... | |
| 2 | Dr. Girinath M R | Cardiothoracic Surgeon | Apollo Hospital Chennai | |
| 3 | Dr Sandeep Attawar | Cardiothoracic Surgeon | Metro Hospital and Heart... | |
| 4 | Dr. Subhash Chandra | Cardiologist | BLK-MAX Super Specialty H... | |
| 5 | Dr. Sushant Srivastava | Cardiothoracic and Vascular Surgery (CTVS) | BLK-MAX Super Specialty H... | |
| 6 | Dr. B. L. Agarwal | Cardiologist | Jaypee Hospital | |
| 7 | Dr Dillip Kumar Mishra | Cardiothoracic Surgeon | Apollo Hospital Chennai | |
| 8 | Dr Saurabh juneja | Cardiologist | Fortis Hospital, Noida |
Post-surgery, you may be required to stay in Intensive Care Unit (ICU) for at least 2 days to avoid complications. After that, a cardiac rehabilitation program will be initiated by the doctor to monitor the functioning of the heart. For 4-5 days, exercise and diet will be monitored for recovery procedure. In the absence of complications, you can return home after a week.
Recovery process usually requires a period of 10-12 weeks with a healthy lifestyle and utmost care. After this period, you can resume your routine activities of work, exercise and travel.
Coronary Artery Bypass Surgery is indeed a life-changing surgery. It is a solution to your prevailing heart problems. Before going for the surgery, make sure your doctor has thoroughly evaluated your case and all necessary tests have been done. You may need someone to help during your stay at hospital or even at home after the surgery. Kindly make arrangements for your personal items and matters. Also, avoid consumption of alcohol weeks before the surgery day. It is also important to mentally prepare yourself and your family about the situation.
Often second surgeries are not required. Even if some complications occur, your surgeon will try to reduce them via medications. Overall, the symptoms are reduced after the surgery, enabling a normal life for the next 10-15 years. In case, clogging occurs again, another bypass or angioplasty may be performed.
Bypass surgery is done with open heart, and thus is complicated. While most surgeries have low risk of developing complications, several possible risks the patients are exposed to include: Infections of chest wound Bleeding problems Heart attack Memory loss
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The information on this page was reviewed and approved by Mozocare team. This page was updated on 14 Mar, 2021.