How Much Does Heart Bypass Surgery Cost?

A heart bypass surgery or Coronary artery bypass grafting (CABG) in India costs starts from USD 4,000. Coronary artery bypass graft surgery is the treatment option for patients with ischemia and multivessel coronary artery disease (CAD).

Best Countries for Heart Surgery

The cost of heart bypass surgery can vary, it is typically a cost-effective and life-saving procedure for those with advanced heart disease.

Patients can recover from surgery and resume living a healthy, active lifestyle with the right planning and aftercare.

  • Cost of a bypass heart surgery or coronary artery bypass graft (CABG) starts for USD 4,000.
  • Cost of high risk CABG starts from USD 7,800.
  • Cost of Redo CABG starts from USD 10,300.

Patients with multivessel coronary artery disease (CAD) and ischemia have the option of undergoing coronary artery bypass graft surgery.

Early detection and the use of proper management therapy can lower treatment costs and avert more serious complications.

Heart Bypass Surgery Cost mainly varies depending on the type. If only one of the top hospitals for heart bypass surgery is picked, the only thing that remains constant is the success rate.

The cost of a heart bypass surgery in different countries is summarized in the table below:

CountryIndiaU.A.EMexicoTurkeySingaporeThailandUS
Cost (USD)$4,000$13,000$27,000$13,900$17,200$15,000$123,000

Bypass surgery is also known as coronary artery bypass grafting (CABG)

  • A procedure used to treat coronary artery disease is coronary artery bypass graft surgery (CABG). The coronary arteries, the blood vessels that carry oxygen and nutrients to the heart muscle, narrow due to coronary artery disease (CAD).
  • Fatty deposits within the artery walls are what cause CAD. The interiors of the arteries become clogged, reducing the amount of oxygen-rich blood that reaches the heart muscle.
  • Coronary bypass surgery is extremely common. To ensure smooth blood flow to the heart, the surgeon performs coronary artery bypass grafting (CABG) or heart bypass surgery.
  • To get around the heart’s blocked or damaged arteries, a surgeon grafts blood vessels from other parts of the body. The goal is to open up the blockage so that more blood and oxygen can reach the heart.
  • Patients who suffer from severe coronary artery disease, heart valve issues, aneurysms, or heart failure, in which the heart is unable to pump adequately, frequently undergo heart surgery.
  • This surgery, to replace a heart valve is comparable to traffic or signal controllers clearing a clogged path.
  • Although surgery does not treat the underlying causes of heart disease, it does ease the symptoms.
  • For some patients, surgery can also improve heart health and reduce the risk of dying from heart failure. After surgery, one might be advised to unwind and maintain a healthy routine to help recuperate better. Most people can maintain good health for several decades or longer.

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Factors affecting the cost of Heart Surgery

The price of heart bypass surgery can vary depending on a number of variables.

The following are some of the major variables that can impact how much a heart bypass procedure costs:

Aortic Valve Replacement: The aortic valve, which is located between the left ventricle and the aorta, is replaced during this surgery. It is typically used to treat aortic regurgitation or stenosis.

Location: Because of the higher cost of living and increased demand for healthcare resources, hospitals in major cities may be more expensive.

Surgeon’s fee: The surgeon who performs the surgery may charge a different fee depending on their experience and reputation. Higher-level surgeons with more experience and expertise may charge a higher fee.

Type of surgery: The cost of heart bypass surgery is also affected. Traditional open-heart surgery is usually more expensive than minimally invasive surgery, which may necessitate less hospitalization and a shorter recovery period.

Advanced tools: The availability of advanced tools influences the overall cost. With the advancement of technology and R&D, a few centres, now have advanced tools, such as the Transit Time Flow Doppler, which provides evidence for the objective assessment of graft anastomosis and blood flow in the grafts.

Anesthesia: These costs vary according to the type of anesthesia used and the length of the surgery. General anesthesia, which necessitates the services of a trained anaesthesiologist, may be more expensive than local anesthesia.

Length of hospital stay: The duration of the hospital stay can also influence the cost of the surgery. Patients who need to stay in the hospital for an extended period of time may incur higher costs for room and board, nursing care, and other related expenses.

Additional tests or procedures: Additional tests or procedures may be required before or after surgery in some cases. These extra services may raise the overall cost of the procedure.

Medical insurance: Patients with medical insurance may have their insurance company cover all or part of the cost of their surgery. Patients with insurance may find the cost of heart bypass surgery to be more reasonable.

In conclusion, there are a number of variables that can affect how much a heart bypass procedure costs. When choosing a hospital and surgeon for their procedure, patients should carefully consider these factors.

Types of Heart Bypass Surgery

The different conditions of the heart make heart bypass surgery fall into different categories

Single bypass: Only one artery is blocked.
Double bypass: Two arteries are blocked.
Triple bypass: Three arteries are blocked.
Quadruple bypass: Four arteries are blocked.

There are two primary CABG procedure types, and the use of a pump to maintain the cardiovascular system distinguishes them from one another. The two types of CABG surgery are as follows:

Open heart CABG surgery:

An artificial heart-lung machine must be used during open heart CABG surgery to ensure that blood flow is maintained to every part of the body throughout the procedure.

As the surgeons open the patient’s chest wall to perform the grafting procedure on the non-beating heart, the patient is placed on a heart-lung pump machine.

Minimally invasive CABG surgery:

Since this kind of surgery is performed on a pumping heart, no artificial heart-lung pumping apparatus is needed. To access the small equipment needed to carry out the grafting procedure, the surgeons make a number of small incisions in the chest and around the heart.

Signs & symptoms

The following warning signs and symptoms of coronary artery disease that may necessitate a CABG include:

  • Pain in the chest.
  • Dyspnoea or shortness of breath.
  • Irregular heartbeats.
  • Palpitations in the heart
  • Swelling in the hands and feet
  • A poor digestive problem
  • Other general symptoms include body aches, weakness, fatigue, nausea, and vomiting.
  • A chest condition known as angina is characterized by heaviness, pain, or tightness. Additionally, it is a sign of clogged or damaged arteries.

A CAD (coronary artery disease) does not have any early symptoms. The aforementioned symptoms only manifest once the disease has advanced, necessitating CABG or a Heart Bypass Surgery, as a form of treatment. After the procedure, the symptoms of CAD are significantly diminished or gone altogether.

Diagnosis

Since CAD symptoms don’t show up until the condition has advanced, it’s critical to be vigilant and get regular check-ups if it’s estimated that there is a higher risk of developing CAD.

Once the cardiologist determines that one has an elevated risk of coronary artery disease, they may recommend a few tests. The following are some of the frequent tests used to identify CAD:

  • Chest radiograph
  • EKG: electrocardiogram
  • X-ray procedure called a coronary angiogram.
  • Exercise test to verify that breathing is normal
  • Blood tests to look for heart muscle damage-related enzymes
  • Cardiac catheterization to assess the severity of coronary artery damage

CABG is advised to treat the condition after cardiac catheterization confirms the coronary artery damage.

Before the procedure, the doctor advises changing anything about eating habits, lifestyle, or medications. Even natural vitamins and supplements should be disclosed to the doctor in case they affect your risk of bleeding.

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Procedure

  • Prior to beginning the coronary artery bypass grafting, your surgeon will administer anesthesia.
  • The procedure could last 3 to 6 hours.
  • To allow one to breathe comfortably throughout the procedure, a breathing tube is placed in the mouth and connected to a ventilator.
  • The heart won’t beat while the surgery is being performed due to the medication the surgeon will administer.
  • A device known as a heart-lung will continue to circulate blood and oxygen throughout the entire body in the interim.
  • A blood vessel (referred to as a graft) is taken from somewhere in the body and joined to one end of the main aorta.
  • The artery below the blockage is joined to the other end.
  • The doctor removes the wire from the chest after the procedure is complete and disconnects you from the machine.
  • Only after the chest bone has fully healed is the wire removed.
  • Aside from the above, the doctor might also:
  • Off-pump surgery, also known as surgery on a beating heart, is a crucial procedure. To stabilize the area of the heart that needs a graft, special apparatus is used. Not everyone is a candidate for off-pump surgery because it involves life-threatening surgery on the beating heart.
  • Robots and video imaging are used to perform minimally invasive surgery, which involves making small incisions of 3 to 5 inches in the chest. It can be done with a heart-lung machine because the heart is not intended to stop for a period of time.

Following the procedure

  • After the heart bypass surgery, one can anticipate receiving two days of ICU care.
  • Only when the patient is healthy enough to walk or breathe independently will the breathing tube are removed.
  • Cardiovascular rehabilitation is offered to patients to aid in their post-operative recovery.
  • Following heart bypass surgery, the patients are required to continue with outpatient monitored programs until they are ready for home-based care.

Recovery

  • The recovery happens gradually. Right after surgery, one might feel worse than they did beforehand.
  • For a few weeks after the surgery, patients might not feel hungry and may even experience constipation.
  • While in the hospital, it’s possible that there is difficulty in sleeping.
  • There may be some swelling in the leg if the surgeon removes a healthy vein chunk. This is common.
  • Though the body needs some time to heal, one will start to feel better every day. The body won’t start to feel better after surgery for about 2 months.
  • Throughout the first few months, patients in general, have several appointments with the doctor to discuss their progress.
  • If symptoms don’t go away or if they get worse, it’s advisable to call them.
  • The doctor prescribes when it is best to resume regular daily activities. The following factors will determine what is best for the patient:
  • Patients’ general well-being
  • If there has been more than one bypass.
  • Which activities the patient tries

To fasten the recovery, it is advised:

  • Patients practice some deep breathing techniques.
    Coughing is also advised because it lowers the possibility of pneumonia.
  • After surgery, one should strictly avoid consuming high-risk foods like salty, fried, and saturated fat-containing foods.
  • Additionally, foods that raise blood cholesterol levels must be avoided.
  • Following surgery, smoking should be completely stopped, and weight maintenance should be a priority.

Patients need to modify their lifestyle and diet after coronary bypass surgery to speed recovery.

By adopting preventive measures that can improve the function of your heart, one may need to maintain the level of your blood pressure and cholesterol and reduce the risk of blood clots.

Heart function can be improved after a bypass procedure.

Risks

Since open heart surgery involves the heart, one might experience comorbidities related to the surgery itself. The patient’s age, the number of bypasses one receives, and any additional medical conditions one may have all have an impact on these risks.

Patients may experience the following side effects:

  • Irregular heartbeats (arrhythmias).
  • Chest wound infection.
  • Kidney-related illnesses.
  • Stroke.
  • Pain
  • Reaction to anesthesia.
  • Pneumonia.
  • A problem in breathing and breathing-related problems.

First and foremost, coronary artery bypass grafting can extend the lifespan by several years.

CABG can alleviate symptoms and possibly prevent a heart attack by restoring blood flow to the heart.

Every year, half a million coronary bypass surgeries are performed, with a success rate of almost 98%.

The heart condition, such as atherosclerosis or coronary artery disease, that resulted in the blockage is not treated by coronary artery bypass surgery.

However, it can lessen signs like shortness of breath and chest pain. The procedure, referred to as CABG, may lower the risk of death from heart disease.

Frequently Asked Questions About CABG

All illnesses affecting the heart or blood vessels are referred to as cardiovascular disorders.

Cardiovascular illness that only affects the coronary arteries is known as coronary artery disease. These names, however, are occasionally used interchangeably.

There are some risk factors for which there is nothing you can do. These consist of:

  • Being a man
  • Having reached menopause as a woman
  • Getting older
  • A family history of coronary artery disease or heart attacks.

No, high blood pressure is a condition in which the blood exerts more force than usual on the walls of the arteries. Over time, it may cause coronary artery disease.

No, cardiac damage cannot be repaired or reversed once it has occurred.

If the issue is identified early, there are fortunately effective drugs and treatments to control coronary artery disease.

Altering a lifestyle, using medications, or having surgery can stop further damage. Even if the diagnosis is coronary artery disease, one can still lead an enjoyable life with proper management.

Patients who undergo CABG can and frequently do go on to lead long, healthy lives.

Most people who undergo a cardiac bypass function rather well and live for at least 15 years before requiring additional surgery, which is usually a stent implantation. A second heart bypass could be done if stenting is not a possibility.

The survival rate for those who successfully undergo a heart bypass and survive the first month of recovery is comparable to that of the general population. And they’re doing it with significantly better heart health!

However, the secret to maintaining good health is adhering to your cardiothoracic surgeons, cardiologists, and other medical professionals’ recommendations. Once the heart has been fixed, it’s time to maintain it.

A close relative who suffered from heart disease, particularly when they were young, increases your risk of developing coronary artery disease.

Heart failure happens when the heart’s ability to pump blood is diminished. When someone has coronary artery disease, the heart’s arteries gradually shrink, making it too weak or stiff to fill with blood and pump it effectively.

An ECG can reveal signs of a current heart attack or one that has already occurred. The ECG’s patterns may be used to identify the amount of damage to the heart as well as which area of the organ is affected.
Yes, which is why it’s critical to make changes to your lifestyle after CABG. While the technique successfully permits blood to bypass the obstructions, the newly formed routes can also gradually accumulate plaque, which reduces their efficiency.

It can start as warning chest pains or other signs days or even weeks before the actual attack and can be much more subtle. However, when one is experiencing a heart attack, the intense pain often lasts for about 15-20 minutes before becoming more bearable.

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Dr. Surbhi Suden is one of the founders of Lyfboat and a doctor with a renowned name in the Medical tourism industry. She has been working with international patients since 2008 and is a deeply committed professional with a long term vision of transforming the current healthcare scenarios.
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