Thursday, January 26, 2023

Bypass Surgery For Heart

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Cordis Heart Institute & Vedshri Heart Clinic

WATCH Triple Bypass Open Heart Surgery

Cordis Heart Institute & Vedshri Heart Clinic is a leading EECP centre in Mumbai. At present we have centres at Miraroad, Thane and Ghatkopar. At Cordis Heart Institute & Vedshri Heart Clinic, we treat heart patients with non-invasive techniques thus helping the patients prevent the surgeries and save their lives. We use latest US FDA approved technologies and equipment at our centres to give best results to our patients.

How Long Will I Have To Wait For Surgery

The length of time you’ll have to wait to have a coronary artery bypass graft will vary from area to area.

Your GP or cardiac surgeon should be able to tell you what the waiting lists are like in your area or at the hospital you have chosen.

Ideally, you should be treated within 3 months of the decision to operate.

Whats Recovery Like After Bypass Surgery

Itâs a gradual process. You may feel worse right after surgery than you did before. You might not be hungry and even be constipated for a few weeks after the surgery. You could have trouble sleeping while youâre in the hospital. If the surgeon takes out a piece of healthy vein from your leg, you may have some swelling there. This is normal.

Your body needs time to recover, but youâll feel better each day. It’ll take about 2 months for your body to feel better after surgery.

Youâll visit your doctor several times during the first few months to track your progress. Call them if your symptoms donât improve or youâre feeling worse.

Talk with your doctor about the best time to return to your normal day-to-day activities. What’s right for you will depend on a few things, including:

  • Your overall health
  • How many bypasses you’ve had
  • Which types of activity you try

You’ll need to ease back in. Some common plans include:

Driving. Usually 4 to 6 weeks, but you need to make sure your concentration is back before you get behind the wheel.

Housework. Take it slow. Start with the simple things you like to do and have your family help with the heavy stuff for a bit while you recover.

Sex. In most cases, you should be physically good to go in about 3 weeks. But you may lose interest in sex for a while after your surgery, so it could be as long as 3 months before you’re ready to be intimate again.

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How Well It Works

  • Can relieve stable angina symptoms and improve quality of life. You may be able to do more of your daily activities.footnote 2
  • May help certain people who have stable angina live longer. Whether it might help you live longer depends on several things. These include your overall health and which arteries need to be bypassed. For example, the surgery may raise your chances of living longer if you have diabetes and narrowing in your heart’s larger arteries.footnote 1
  • Improves blood flow to the heart muscle after a heart attack.

Conventional On Pump Coronary Artery Bypass Surgery

Coronary artery bypass graft

More than 70%2 of all bypass surgeries are performed on a stopped heart. Unlike beating heart surgery, during conventional on pump heart bypass, medication is used to stop your heart.

A heart-lung machine takes over the function of your heart and lungs during the surgery.The heart-lung machine is also called a cardiopulmonary bypass machine. It has a pump to function as the heart and a membrane oxygenator to function as the lungs.

A patient is placed on cardiopulmonary bypass during conventional open heart surgery. The Performer® CPB System, an advanced heart-lung machine, takes over the job of keeping oxygen-rich blood circulating throughout the body during conventional CABG surgery. This allows the surgeon to perform the surgery on a still heart.

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How Is Heart Bypass Surgery Performed

Your heart bypass surgery will be performed in a hospital using one of the following approaches:

  • Minimally invasive coronary artery bypass is performed through a small incision between your ribs. Minimally invasive surgery generally involves a faster recovery and less pain than open surgery. This is because it causes less trauma to tissues and organs. Your surgeon will make a small incision instead of a larger one used in open surgery. Surgical tools are threaded around muscles and tissues instead of cutting through or displacing them as in open surgery.

  • Port access coronary artery bypass surgery involves inserting special instruments and a thoracoscope through ports or very small incisions in your chest. A thoracoscope is a thin, lighted instrument with a small camera. The camera transmits pictures of the inside of your chest to a video screen viewed by the surgeon while performing surgery.

  • Open heart coronary artery bypass surgery involves making a large incision in the chest and through the breastbone . An open surgery incision allows your surgeon to directly see and access the surgical area. Open surgery generally involves a longer recovery and more pain than minimally invasive surgery. Open surgery requires a larger incision and more cutting and displacement of muscle and other tissues than minimally invasive surgery. Despite this, open surgery may be a safer or more effective method for certain patients.

What to expect the day of your heart bypass surgery

The Second Day After Surgery

On the second day after your heart bypass surgery, you may:

  • Be expected to get out of bed several times per day: You’ll be prompted to walk short distances in the hallway. You should try to walk every day and slowly, gradually, increase the distance that you walked from the day before. Walking helps prevent common post-surgery complications such as pneumonia and constipation.
  • Be able to sit up in a chair: You’ll be encouraged to eat your meals out of bed.
  • Begin eating solid foods and drinking liquids as tolerated: There will be a limit to the amount of fluids you can drink over a 24-hour period.
  • Be moved to a regular cardiac unit: When you are moved out of the ICU, your heart will continue to be monitored closely via a small portable device called a telemetry unit, which continually transmits your heart’s rhythm, heart rate, breathing and blood pressure, remotely. This enables the nurses to monitor your vital signs, even when they are not in the room with you.

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Medical Issues To Consider

Once you and your doctor have decided that you are to have a heart bypass operation, your doctor will discuss in detail the risks involved. This will include the type of anaesthetic you will have and the immediate post-operative care you can expect. You also need to discuss health and lifestyle issues, including medical history, allergies and current medications.Once in hospital, your vital signs such as blood pressure and heart rate are recorded. You will also undergo various medical investigations prior to surgery, including blood tests, x-rays and an electrocardiogram.

What To Expect On The Day Of Surgery

Heart Bypass Surgery (CABG)

General anesthesia is started right before the surgical procedure. Then the cardiothoracic surgeon starts harvesting veins from the legs or arms. These vessels are used for bypass grafts.

The surgical team will confirm that the vessels are healthy enough to be used to bypass the diseased coronary arteries. Meanwhile, the surgeon opens the chest and begins preparing the heart. They may also remove another vessel from the left chest, to supplement the other veins already harvested.

During the vast majority of quadruple bypass surgeries, the heart is stopped to prevent motion. A heart-lung bypass machine is used to allow both the heart and lungs to be still.

This helps the surgical team complete the graft portion of the surgery safely and quickly. The machine supplies oxygen to the blood instead of the lungs doing so. It pumps the oxygenated blood through the body as the heart would normally do.

During surgery, the blood vessels are attached to the existing heart vessel, around the areas of blockage. It’s similar to a quick detour you might take to avoid traffic, with the blood literally rerouted around the blocked portion of the cardiac artery.

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Why Might A Person Need Heart Bypass Surgery

When a material in your blood called plaque builds up on your arterial walls, less blood flows to the heart muscle. This type of coronary artery disease is known as atherosclerosis.

The heart is more likely to become exhausted and fail if its not receiving enough blood. Atherosclerosis can affect any arteries in the body.

Your doctor may recommend heart bypass surgery if your coronary arteries become so narrowed or blocked that you run a high risk of a heart attack.

Your doctor will also recommend bypass surgery when the blockage is too severe to manage with medication or other treatments.

A team of doctors, including a cardiologist, identify whether you can undergo open-heart surgery. Some medical conditions can complicate surgery or eliminate it as a possibility.

Conditions that can cause complications include:

In the past decade, more alternatives to heart bypass surgery have become available. These include:

Weeks After Your Heart Bypass Surgery

  • When to drive: Most surgeons recommend waiting at least six weeks after surgery to begin driving even a minor accident could cause you to hit your chest area on the steering wheel which could disturb normal healing of your sternum.
  • When to return to work: Those who perform strenuous physical labor may need to wait longer than people who work at a desk all day.
  • When you can begin lifting heavy items: It’s important not to push yourself before your weight lifting restriction is eliminated.
  • When you can resume engaging in normal sexual activity: Don’t neglect to discuss this with your healthcare provider.

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Why It’s Carried Out

Like all organs in the body, the heart needs a constant supply of blood.

This is supplied by 2 large blood vessels called the left and right coronary arteries.

Over time, these arteries can become narrowed and hardened by the build-up of fatty deposits called plaques.

This process is known as atherosclerosis.

People with atherosclerosis of the coronary arteries are said to have coronary heart disease.

Your chances of developing coronary heart disease increase with age.

You’re also much more likely to be affected if:

  • you’re overweight or obese
  • you have a high-fat diet

Coronary heart disease can cause angina, which is chest pain that happens when the supply of oxygen-rich blood to the heart becomes restricted.

While angina can often be treated with medicine, severe angina may require a coronary artery bypass graft to improve the blood supply to the heart.

Another risk associated with coronary heart disease is the possibility of one of the plaques in the coronary artery rupturing , creating a blood clot.

If the blood clot blocks the blood supply to the heart, it can trigger a heart attack.

A coronary artery bypass graft may be recommended to reduce your chances of having a heart attack.

Eecp Heart Therapy Centres In Mumbai

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EECP is a safe, non-invasive, well tolerated and effective for patients with ischemic heart disease ,angina and heart failure.

  • No surgery, No side effects and Cost effective.
  • Most patients begin to feel better after about 15 treatments.
  • EECP therapy increases the blood supply to the heart and all the organs, tissues and cells of the body.
  • EECP therapy reduces symptoms of chest discomfort, difficulty breathing and the amount of drugs taken by the patient.
  • EECP therapy improves exercise capacity and quality of life.
  • The benefits of EECP therapy can last several years.

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What Is Heart Bypass Surgery

Heart bypass surgery is when a surgeon takes blood vessels from another part of your body to go around, or bypass, a blocked artery. The result is that more blood and oxygen can flow to your heart again.

Imagine youâre on a highway. An accident causes traffic to pile up ahead. Emergency crews redirect cars around the congestion. Finally, youâre able to get back on the highway and the route is clear. Heart bypass surgery is similar.

It can help lower your risk for a heart attack and other problems. Once you recover, youâll feel better and be able to get back to your regular activities.

Youâll still need a healthy diet, exercise, and probably medicine to prevent another blockage. But first, youâll want to know what to expect from the surgery, how to prepare, what complications can happen, and what the recovery is like.

What Happens During Heart Bypass Surgery

Youâll be asleep the whole time. Most operations take between 3 and 6 hours. A breathing tube goes in your mouth. It’s attached to a ventilator, which will breathe for you during the procedure and right afterward.

A surgeon makes a long cut down the middle of your chest. Then they’ll spread your rib cage open so that they can reach your heart.

Your surgical team will use medication to temporarily stop your heart. A machine called a heart-lung machine will keep blood and oxygen flowing through your body while your heart isn’t beating.

Then the surgeon will remove a blood vessel, called a graft, from another part of your body, like your chest, leg, or arm. They’ll attach one end of it to your aorta, a large artery that comes out of your heart. Then, they’ll the other end to an artery below the blockage.

The graft creates a new route for blood to travel to your heart. If you have multiple blockages, your surgeon may do more bypass procedures during the same surgery .

In some cases, the surgeon may not need to stop your heart. These are called âoff-pumpâ procedures. Others need only tiny cuts. These are called âkeyholeâ procedures.

Some surgeries rely on the help of robotic devices. Your surgeon will recommend the best operation for you.

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What Happens During A Heart Bypass Surgery

A heart bypass surgery usually takes around four hours, and requires general anaesthesia administration. The amount of time will depend on the number of blockages, and their severity.

During the heart bypass surgery, your heart surgeon will make an incision down the centre of the chest to reach the heart. The ribs are then opened to reveal the heart, which is then temporarily stopped. A heart-lung machine takes over the hearts function to circulate blood to the rest of the body while your heart surgeon operates on your heart.

Your heart surgeon will remove a healthy blood vessel from your chest, arm or leg to replace the blocked or narrowed arterys function. One end is attached above the blockage, while the other is attached below the blockage to allow blood to bypass the damaged artery.

After the artery is grafted to your heart, your heart surgeon will remove the heart-lung machine and check the function of your bypass. If the bypass is working successfully, your surgeon will stitch and bandage the incision.

As a heart bypass surgery is an invasive procedure, you will be warded in the hospitals Intensive Care Unit for monitoring. You will also be cared for by an intensivist.

About Heart Bypass Surgery

Coronary Artery Bypass Surgery

Heart bypass surgery improves blood flow to the heart muscle and helps the heart pump more efficiently. During the operation, surgeons reroute blood flow around a blocked artery in your heart by using vessels taken from your chest, arm, or leg.

Our team of specialized cardiac surgeons, anesthesiologists, intensivists, and nurses are equipped to care for all types of people with , including those with complex heart disease or other significant medical problems.

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What Is The Recovery Time

Most people who have CABG will need several weeks to fully recover from this procedure. During that time, your provider will likely have you avoiding any strenuous activities or situations that might put too much stress on your heart and incisions.

Your healthcare provider is the best person to tell you how long it will probably take you to recover and what you should expect. Theyll also tell you when you can start resuming your regular activities like work, exercising, driving, etc.

Why It Is Done

Bypass surgery is done to treat a heart attack and coronary artery disease. Surgery might be an option for many reasons. These reasons include the following:footnote 1

  • Your left main heart artery is very narrow.
  • Multiple arteries of the heart are blocked or the amount of blood flowing through them is very low.
  • You are going to have surgery to repair or replace a heart valve.
  • You have diabetes and two or more narrowed or blocked arteries.
  • Your heart is having trouble pumping. This is called a decreased ejection fraction.

Whether surgery is an option for you also depends on your age, your health, and how much your angina is affecting your quality of life. Your doctor is likely to recommend bypass surgery only if you will benefit from it and if those benefits are greater than the risks. You and your doctor can work together to decide if you want to have surgery.

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What Happens During Bypass Surgery

A blood vessel is grafted between the aorta and the coronary artery, or arteries leading to the heart muscle. This allows the blood to bypass blocked arteries and restores blood flow to the heart muscle. It is quite normal to need two to four grafts, otherwise known as a double, triple or quadruple bypass.

Your surgeon will then make a cut, about 25cm long, down the middle of your breastbone and will open your ribcage to reach your heart. Your surgeon may attach the new grafts while your heart is still beating, but it’s more common to temporarily stop your heart.

Your blood is then diverted to a heart-lung machine. This takes over from your heart and lungs to add oxygen to your blood and maintain your circulation.

The grafts will be attached and your heart will be restarted. Your sternum will be rejoined using wires and the skin on your chest will be closed with dissolvable stitches.

The procedure itself takes around three hours, but may take longer depending on how many grafts need to be done. If blood vessels from your leg or arm are being used for grafts, your surgeon will remove and prepare these first.

After your operation, you will be taken to the intensive care unit and will be closely monitored for about 24 hours before you go back to your ward. When you wake up you will be connected to machines that record the activity of your heart, lungs and other body systems. These might include a ventilator machine to help you breathe.

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