Coronary Artery Bypass Graft Surgery India

Definition

Coronary Artery Bypass Graft is a kind of surgery carried on to repair blood flow to the heart muscle. The surgery is conducted by using various blood vessels from other parts of the body in order to supply a path around the obstructed coronary arteries. This allows ample blood flow which delivers oxygen and necessary nutrients to the heart muscle. This surgery is one of the most commonly performed major operations in western countries. However, coronary artery bypass graft surgery is also carried out successfully in India as well.

Reasons why one should go for Coronary Artery Bypass Graft

Coronary artery bypass grafting is done to restore normal blood supply to the heart muscle. Your doctor will advise you for Coronary Artery Bypass Graft when:
  • Diagnosis results in stern blockages in the main artery or obstacles in several blood vessels
  • When you suffer from constant chest pain which is not improved with drug therapy

Risks involved in the surgery

CABG surgery involves fewer risks. The overall mortality related to this surgery is 3-4%. In some cases about 5 to 10% of patients suffer from heart attack which is the main cause of death. Due to bleeding sometimes 5% of patients require exploration too. The second surgery most often accelerates the risk of chest contamination and lung complications. Heart strokes also occur in 1-2% primarily among elder patients.

Pre and Post Treatment Care/Requirements

Pre-surgery requirements

Your doctor will probably do the following:

  • A thorough physical exam
  • An X ray of your chest
  • ECG,EKG (Electrocardiogram)- This is a test that traces heart’s movement by calculating electrical currents via the heart muscle
  • A test called coronary angiogram that determines the point and spot of the blockage in the blood vessels in the heart
  • Before one week of CABG avoid taking aspirin or any anti-inflammatory drugs unless prescribed by your doctor. Also make sure if you are not taking any blood thinning medicine such as Warfarin, Clopidogrel or Tricodine. Consult your doctor if your have been taking these medicines since you may need to stop taking any of these medicines.
  • Do not take a heavy meal the night before the surgery and also avoid eating or drinking anything after midnight

Post Surgery Requirements

Post surgery you will be relocated to an intensive care unit. You will be under observation and will also be hooked up to various tubes and monitors which include:
  • A heart monitor
  • Pacing wires that will help control heart rate
  • Bladder tube
  • Breathing pipe until and unless you can breathe independently
  • Catheters connected to a machine that will drain excess blood and air from the surgery spot
  • Medications will be given to ease away the surgical pain

Average time of stay for the surgery

One patient differs from another in terms of recovery. So it is not predictable about the exact period of recovery for coronary artery bypass graft surgery. However, an average stay of 5-7 days at the hospital is recommended for the surgery.