Coronary bypass or heart bypass surgery is an advanced heart surgery which is performed to redirect blood flow in heart of either one or more partially or completely blocked artery. Coronary bypass or heart bypass surgery is done to improve blood flow in muscle of heart. In the heart surgery, a healthy and clean vessel is taken from leg, arm or chest and is connected to blocked arteries in the heart to improve the blood flow in heart. In this procedure the surgeon take a healthy blood vessel from your leg, arm or chest and connect it away from the blocked arteries in your heart.
The risk of complications is generally low and depends on your health before surgery. The risk of complications can be higher if the operation is performed as an emergency case or if you already have other medical conditions, like emphysema, kidney disease, diabetes or blocked arteries in your legs (peripheral artery disease).
After the surgery, most patients feel better and might stay symptom-free for long time like 10 to 15 years. Over the time, there can be a possibility that other arteries or even the new graft used in the bypass shall clogged, which leads to require another bypass or angioplasty.
The results and long-term outcome depends on the part of taking your medications properly to prevent arterial blood clots, control blood pressure, controlled cholesterol and help control diabetes as suggested, and follow healthy lifestyle recommendations, including these:
We have done 300+ bypass surgeries in previous year. For the best results and post operation stabilisation-we have dedicated ICU with highly experienced team of doctors, nurses and technicians. We have done First Awake Open Heart Surgery in the eastern Uttar Pradesh. Institute of cardiology at Apollo hospital lucknow is providing round the services and regularly doing bypass surgery in lucknow with excellent results.
Coronary bypass surgery redirects blood around a neighborhood of a blocked or partially blocked artery in your heart to enhance blood flow to your cardiac muscle. The procedure involves taking a healthy vessel from your leg, arm or chest and connecting it beyond the blocked arteries in your heart.
Although coronary bypass surgery doesn't cure the center disease that caused the blockages (atherosclerosis or coronary artery disease), it can ease symptoms, like pain and shortness of breath. For some people, this procedure can improve heart function and reduce the danger of dying of heart condition.
Coronary bypass surgery is one option if you've got a blocked artery to your heart.
You and your doctor might consider it if:
Coronary bypass surgery may additionally be performed in emergency situations, like an attack, if you are not responding to other treatments.
Even with coronary bypass surgery, you will need to form lifestyle changes after surgery. Medications are prescribed routinely after coronary bypass surgery to lower your blood cholesterol, reduce the danger of developing a clot and help your heart function also as possible.
Because coronary bypass surgery is a heart surgery, you would possibly have complications during or after your procedure. Possible complications include:
Your risk of developing complications is usually low, but it depends on your health before surgery. Your risk of complications is higher if the operation is completed as a procedure or if you've got other medical conditions, like emphysema, renal disorder, diabetes or blocked arteries in your legs (peripheral artery disease).
Your doctor will offer you specific instructions about activity restrictions and changes in your diet or medications you ought to make before surgery.
Make arrangements for after your surgery. It will take about four to 6 weeks for you to recover to the purpose where you'll resume driving, return to figure and perform daily chores.
What you can expect
Before the procedure
If your coronary bypass surgery isn't performed as emergency surgery, you will probably be admitted to the hospital the morning of the surgery.
Coronary bypass surgery generally takes between three and 6 hours and requires general anesthesia. The number of bypasses you would like depends on where in your heart and the way severe your blockages are.
For general anesthesia, a breathing tube is inserted through your mouth. This tube attaches to a ventilator, which breathes for you during and immediately after the surgery.
Most coronary bypass surgery surgeries are done through an extended incision within the chest while artificial pump keeps blood and oxygen flowing through your body. This is called on-pump coronary bypass surgery.
The surgeon cuts down the middle of the chest, along the breastbone. He or she then spreads open the skeletal structure to show the heart. After the chest is opened, the heart is stopped for short term with medication and a pump takes over to circulate blood to the body.
The surgeon takes a neighborhood of healthy vessel, often from inside the chest wall or from the lower leg, and attaches the ends above and below the blocked artery so that blood flow is redirected round the narrowed a part of the diseased artery.
Other surgical techniques your surgeon might use include:
Normally a coronary bypass or heart bypass surgery patient rests in hospital for a week. You may expect to spend a day or two in the intensive care unit (ICU).
If there are no complications, then one would be discharged from the hospital within a week. One has to come to hospital after a week of discharge for stich removal.
Precautions to be take post Coronary bypass surgery