CABG Details

Coronary artery bypass graft surgery (CABG) is a procedure used to treat coronary artery disease in certain circumstances. Coronary artery disease (CAD) is the narrowing of the coronary arteries (the blood vessels that supply oxygen and nutrients to the heart muscle), caused by a buildup of fatty material within the walls of the arteries. This buildup causes the inside of the arteries to become narrowed, limiting the supply of oxygen-rich blood to the heart muscle.

Before CABG

The doctor will explain the procedure to you and offer you the opportunity to ask any questions that you might have about the procedure. You will be asked to sign a consent form that gives your permission to do the test. Read the form carefully and ask questions if something is not clear. In addition to a complete medical history, your doctor may perform a complete physical examination to ensure you are in good health before undergoing the procedure. You may undergo blood tests or other diagnostic tests. You will be asked to fast for eight hours before the procedure, generally after midnight.If you are pregnant or suspect that you are pregnant, you should notify your doctor. Notify your doctor if you are sensitive to or are allergic to any medications, iodine, latex, tape, or anesthetic agents (local and general). Notify your doctor of all medications (prescription and over-the-counter) and herbal supplements that you are taking. Notify your doctor if you have a history of bleeding disorders or if you are taking any anticoagulant (blood-thinning) medications, aspirin, or other medications that affect blood clotting. It may be necessary for you to stop some of these medications prior to the procedure.Your doctor may request a blood test prior to the procedure to determine how long it takes your blood to clot. Notify your doctor if you have a pacemaker. If you smoke, you should stop smoking as soon as possible prior to the procedure. This may improve your chances for a successful recovery from surgery and benefit your overall health status. Based on your medical condition, your doctor may request other specific preparation.

How it is performed

During coronary artery bypass graft surgery (also called CABG), a blood vessel is removed or redirected from one area of the body and placed around the area or areas of narrowing to bypass the blockages and restore blood flow to the heart muscle. This vessel is called a graft. These substitute blood vessels can come from your chest, legs, or arms. They're safe to use because there are other pathways that take blood to and from those tissues. The surgeon will decide which graft(s) to use depending on the location of your blockage, the amount of blockage, and the size of your coronary arteries.

Recovery

After surgery, you'll typically spend 1 or 2 days in an intensive care unit (ICU). Your heart rate, blood pressure, and oxygen levels will be checked regularly during this time. After you leave the ICU, you'll be moved to a less intensive care area of the hospital for 3 to 5 days before going home.

Potential Risks

Possible risks associated with coronary artery bypass graft surgery include, but are not limited to, the following:

  • Bleeding during or after the surgery
  • Blood clots that can cause heart attack, stroke, or lung problems
  • Infection at the incision site
  • Pneumonia
  • Breathing problems
  • Cardiac dysrhythmias/arrhythmias (abnormal heart rhythms)

Cost for CABG

India from $5,500

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