Heart Bypass Surgery Success Rate in India

Coronary artery bypass grafting, also known as heart bypass surgery, has a very high overall survival rate—approximately 98%. Improvements in anaesthesia, improved surgical methods, and better postoperative care are credited with this success.
Heart Valve Replacement Surgery Cost

The heart has three arteries that carry oxygenated blood to the heart muscles. The left and right coronary arteries are the two main coronary arteries that emerge from the root of the aorta.

While the right coronary artery supplies blood to the right side of the heart, the left coronary artery primarily supplies blood to the front and left sides of the heart. The left side and rear of the heart are supplied by the third artery, the circumflex artery, which emerges from the left coronary artery.

Unfortunately, blockages in any of the arteries could potentially occur.

  • Coronary artery bypass graft is the medical term for heart bypass surgery (CABG).
  • In order to create a detour or bypass around the blockage in the coronary artery that supplies the heart, a blood vessel from the arms, legs, or chest must be removed. Blood can now return to the heart as a result.
  • Heart bypass surgery lowers the risk of death and heart attack and is a relatively safe and effective procedure.
  • Additionally, the procedure may lessen chest pain, which is one of the symptoms of coronary artery disease.
  • Heart bypass surgery is a difficult process that takes a long time to prepare for and recover from.
  • The blood vessels wrap around the blocked artery, creating new pathways for oxygen-rich blood to reach the heart.
  • Blood vessels from other body parts, such as the legs and chest, are used to bypass these arteries.
  • The blood flow to the heart is enhanced and restored by these blood vessels.
  • These arteries are surrounded by blood veins from other body parts, such as the legs and chest.
  • Although cardiopulmonary bypass is typically used during this procedure, it is possible to perform bypass surgery on a beating heart, a procedure known as “off-pump” surgery.
  • A patient may require one, two, three, or more bypasses, depending on how many coronary arteries are clogged.
  • Coronary artery bypass surgery is the most common heart surgery performed on adults worldwide.
  • Many cardiology hospitals in India perform a large number of bypass surgeries every day.
  • The first bypass surgery was carried out in India in 1975. Approximately 10,000 bypass surgeries were carried out annually in the 1990s; today, over 60,000 procedures are carried out annually.
  • Today, the top heart hospitals in India see a growing number of medical tourists as well as Indians seeking bypass heart surgeries.
  • The process of rerouting the heart’s blood flow around an obstructed or restricted artery is known as heart bypass surgery.
  • This is a typical treatment strategy for coronary artery disease. The risk of a heart attack can be decreased with heart bypass surgery.
  • Over the past ten or so years, the success rate of heart bypass surgery has increased due to the introduction of newer surgical techniques.

Types Of Cardiac Bypass Surgery

Multiple bypass surgery: This is referred to as a single bypass operation when a surgeon only needs to bypass one blocked artery. It will be required to perform multiple bypasses if there are blockages in multiple arteries. A surgeon’s other options are:

  • Double bypass surgery: Two grafts will be required if there are blockages in both arteries.
  • Triple bypass surgery: Three bypass grafts are required if there are three blockages.
  • Quadruple bypass surgery: Four grafts are required to bypass four coronary arteries if they are blocked.
  • Quintuple bypass surgery: This requires five bypass grafts and involves the surgery of all five major arteries that supply the heart.

Minimally invasive: Heart bypass surgery can be performed by surgeons without necessitating a full chest opening. They can make tiny incisions between ribs on a person’s side. The bypass surgery is then performed using tiny cameras and instruments inserted. This can be done by surgeons with or without robotic assistance. Recovery times from minimally invasive cardiac surgery are usually shorter. Results from the procedures can be just as good as those from open surgery.

Surgery for off-pump bypass: In contrast to heart-lung machines, off-pump surgery, also referred to as “beating heart surgery,” is performed while the heart is still pumping. There are no sophisticated tools or machines required for this process. The heart continues to beat as usual during this process. This type of surgery is among the minimally invasive ones.

Surgery using a keyhole bypass: People whose cardiac arteries are narrowed frequently require surgery to bypass the blocked arteries. Usually, multiple small or large incisions made in the breastbone are used to accomplish this.

Robotic bypass surgery: involves multiple tiny incisions made in the chest and the use of highly precise mechanical instruments that are operated by robots. Resuming work takes less time when the cuts are smaller.

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The Procedure

Medical professionals usually have several choices when treating a blockage. While less invasive procedures like stents and medications may help doctors address the problem, this is not always the case.

When a patient has multiple bypasses or other underlying medical conditions like diabetes and has complex vessel disease, heart bypass surgery is the recommended course of treatment.

  • General anaesthesia: An Anaesthesiologist will put the patient to sleep with a general anaesthetic after getting ready for surgery and insert a breathing tube into the patient’s windpipe.
  • Harvesting of graft vessels: The patient’s leg, arm, or chest will be used by surgeons to remove the target vessels.
  • Incision and opening: To reach the patient’s heart, the surgeon will cut an incision in the middle of the chest and separate the sternum. At this point, they will momentarily stop the heart from beating.
  • Cardiopulmonary bypass: A patient may be put on this life-supporting procedure by a doctor. To do this, the patient must be attached to a machine that will operate their heart and lungs. This bypass does not have to be used for every surgery.
  • Grafting: To reroute blood flow, surgeons will affix the new graft vessels to both sides of the blockages.
  • Restoring blood flow: If cardiopulmonary bypass is required, doctors will remove it and verify that blood is passing through the grafted vessel as intended.
  • Closure: The surgeons will use metal wires to secure the sternum and suture up the incision site after verifying that blood is flowing through the graft. For recuperation, the patient will be admitted to an intensive care unit.

Depending on how many grafts a patient needs, the procedure usually takes three to six hours.

Heart Bypass Surgery: Outcomes and Success Rates

Using body grafts and avoiding clogged or narrow arteries, this intricate procedure aims to get the heart pumping again. With an astounding overall success rate of approximately 98%, CABG ensures exceptional survival rates and provides substantial relief from debilitating symptoms.

Factors That Determine the Success Rate of Heart Bypass in India

  • Heart bypass surgery has a remarkable range of success rates, ranging from high overall survival rates and symptom relief to improved quality of life and long-term benefits.
  • The reasons listed below emphasize the significance of coronary artery bypass grafting (CABG) as an effective and life-changing procedure for patients suffering from coronary artery disease.

The success rate of cardiac bypass surgery is determined by the factors listed below, which are considered when selecting a surgery procedure on an individual basis.

High Overall Survival Rate

  • Coronary artery bypass grafting, also known as heart bypass surgery, has a very high overall survival rate—approximately 98%.
  • Improvements in anaesthesia, improved surgical methods, and better postoperative care are credited with this success.

Symptom Alleviation

  • Relieving symptoms like dyspnoea and chest pain (angina) linked to coronary artery disease is one of the main goals of coronary artery bypass surgery (CABG).
  • Following surgery, patients usually have significant relief from these symptoms, which improves their quality of life.

Improved Blood Flow

  • By rerouting blood around clogged or constricted arteries, the operation improves blood flow to the heart muscle.
  • The patient’s general cardiovascular health is improved and myocardial infarction (heart attack) is prevented by this restoration of proper blood circulation.

Long-Term Benefits

  • Research suggests that heart bypass surgery has long-term advantages, such as a lower chance of having another heart attack or experiencing another cardiovascular event.
  • The treatment offers long-lasting heart health benefits rather than just a temporary fix.

Enhanced Exercise Capacity

  • Following a successful CABG procedure, patients frequently report an increase in their capacity for exercise.
  • This is an essential component of the operation’s success because it frees people from the limitations placed on their physical activity by coronary artery disease.

Improvement in Quality of Life

  • Heart bypass surgery greatly improves patients’ overall quality of life, going beyond survival and symptom relief.
  • When heart-related symptoms are no longer a barrier, people can live more active, satisfying lives.

Decreased Medication Dependency

  • Following a successful heart bypass procedure, patients may experience less reliance on the drugs that were first prescribed to treat their symptoms.
  • The fact that the patient is taking less medication is a good sign that the surgical intervention was successful.

Prevention of Future Cardiac Events

  • CABG is useful in averting cardiac events. By removing clogged or constricted arteries, the procedure lowers the risk of further heart attacks, extending the patient’s life and improving their health.

Enhanced Heart Function

  • Enhanced heart function is frequently the consequence of normal blood flow being restored through bypassed arteries.
  • This is critical to the patient’s overall cardiovascular health and helps ensure a successful surgical outcome.

Positive Psychological Effect

  • Patients who undergo successful heart bypass surgery may experience a positive psychological outcome.
  • Anxiety can be reduced, and mental health can be enhanced, by knowing that the surgery has improved their prognosis and addressed serious cardiac issues.

The experience of the cardiac surgeon

  • The hospital where you are receiving treatment, the age, general health, and the nature of the heart’s condition can all have an impact on how well a heart bypass surgery goes.

The lower the number of risk factors, the higher the success rate of heart bypass surgery.

Risk factors that can make or break the success rate include diabetes, high blood pressure, and kidney issues.

Taking these factors into account is crucial when choosing whether to have a heart bypass surgery. Additionally, one should be aware of the risks connected to the surgery, which include decreased kidney function and infection. Nonetheless, there is now a much lower chance of these complications.

Consequently, heart bypass surgery success rates will rise.

Bypass Heart Surgery vs Stenting

Fortunately, blockages in the heart arteries can be removed with two procedures: stenting of Coronary Artery Bypass Surgery.

To select the best course of action, it is critical to comprehend these two surgeries completely. The patient’s heart condition or issue will determine which procedure is best for them. 

Listed below are some highlights that help in comparing stent placement with bypass surgery and explain why, in the short, medium, and long terms, bypass surgery is typically preferable to stent placement.

  • A stent is a tiny metal mesh coil that expands and prevents arteries from closing or narrowing again. It is packaged as a tube that contains an expandable balloon.
  • The stent-balloon assembly will be precisely positioned within the narrow section by the specialist after a wire has been passed across the obstruction.
  • After the balloon is inflated, a controlled force causes the stent to open, keeping the artery open. 
  • The operator then deflates the balloon and takes it from the patient.
  • Patients who are experiencing a sudden heart attack or who only have one artery blockage are good candidates for stent placement.
  • This indicates that stenting is not advised for patients with numerous heart artery blockages or impeded main artery blood flow.
  • Re-blockages in arteries can occur, even after stenting for a while. This is particularly true for those who have diabetes, and the re-blocking pattern of stented arteries can be unpredictable.
  • Individuals who have had stents would need to take extra precautions going forward.
  • Heart bypass surgery is a natural, efficient solution to the issue of blocked heart arteries.
  • A major procedure, heart bypass surgery usually involves an open chest incision made by the surgeon to access the heart.

However, during a bypass heart surgery, the artery blockages are bypassed by the surgeon using the patient’s blood vessels.

  • To bypass clogged areas in the arteries, the patient has one or two arteries from within the chest, an artery from the left forearm, and leg veins removed. 
  • One end is sewn to the coronary artery blockage that is present beyond the blockage, and the other end is sewn to an aortic opening. This opens up a fresh path for blood to travel through the arteries. 
  • It is a one-time procedure that instantly removes all artery blockages. Usually, the entire procedure takes three to five hours.
  • After the procedure, the patient spends a few hours in the intensive care unit on a ventilator. 
  • Following bypass surgery, patients typically remain in the hospital for four to five days. 
  • In roughly one month, the patient can resume their regular activities and employment after being released from the hospital. You should not drive for eight weeks.
  • In non-emergency situations, heart bypass surgeries have over 99% success rates and are safe. The field of bypass surgery has made significant strides. 
  • Patients no longer need to connect to a heart-lung machine in order to undergo bypass surgery on beating hearts. 
  • Following successful bypass surgery, patients may continue to live normal lives for as long as 20 years or longer.

Benefits of Cardiac Bypass Surgery

  • Thanks to advancements in surgical methods, the likelihood of major complications following cardiac bypass surgery has significantly decreased in recent years.
  • Patients can enhance their quality of life and reduce their risk of developing new heart problems after the bypass surgery.
  • Following bypass surgery, the area of the heart that had its blood supply restricted because the artery supplying it had narrowed is now able to supply blood to that area again.
  • With the heart bypass surgery, it is possible to avoid the clogged artery.
  • Bypass surgery lowers the chance of another heart attack, enhances exercise performance, and frequently relieves angina symptoms.
  • Benefits from cardiac bypass surgery could include improved durability and fuller revascularization.
  • Assessing the success rate of a significant procedure, such as a heart bypass, is a
    a crucial stage in getting ready for the surgery. 
  • Thankfully, heart bypass surgery has a high success rate, and those who have had it typically live long, healthy lives.

How can Lyfboat assist you getting CABG Treatment and Surgery in India?

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Choosing India in the Case of Heart Bypass Surgery or Higher Success Rate

The following factors contribute to the best heart surgery hospitals in India becoming more and more preferred for bypass surgeries:

  • Highly qualified cardiac surgeons with decades of successful bypass surgery experience perform heart bypass surgeries in India.
  • Surgeons perform procedures with the patient’s comfort and safety in mind.
  • India has long been known for having extremely high success rates with bypass surgeries.
  • Heart surgery hospitals in India provide extremely affordable bypass surgeries when compared to other developed nations such as the USA or other states or countries worldwide. 
  • The cost of a full heart bypass surgery in India can be 50–90% lower for a foreign patient.
  • The experience and skill of the surgeon, the hospital and room type selected, the outpatient care facility, the cost of medications before and after surgery, the cost of diagnostic procedures, the cost of the hospital stay, and the fees of the healthcare team—including the surgeons, anaesthesiologists, physiotherapists, dieticians, and special nurses—all have an impact on the average cost of bypass surgery in India.
  • Top heart surgery hospitals in India use state-of-the-art technology and opulent surroundings to give patients the best possible care.
  • India offers some of the best hospitals and healthcare systems in the world.
  • Easy lodging arrangements are available for patients and their companions at India’s top heart surgery facility.
  • International cardiac patients are given special treatment at this hospital, which even assigns multilingual staff to assist them.
  • The majority of cutting-edge bypass procedures carried out on beating hearts in India do not require the use of a heart-lung machine.
  • These hospitals’ cardiac surgeons offer individualized treatment plans that include thorough preoperative assessments, minimally invasive surgical methods, and postoperative rehabilitation regimens.
  • Leading cardiac surgery hospitals in India hold accreditation from global entities like Joint Commission International (JCI), Healthcare Providers (NABH), and the National Accreditation Board for Hospitals.
  • Numerous medical businesses in India can assist foreign currency exchangers and visa applicants who are seeking heart bypass surgery in India.

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