Coronary Bypass Surgery

Coronary Bypass Surgery is due to Coronary artery disease.

Coronary artery disease is present in 16 million Americans and is characterized by cholesterol-filled plaques that block arteries and can cause chest pain (angina) or myocardial infarct (heart attacks).

The development of coronary artery disease depends upon the presence of predisposing conditions or behaviors: the RISK FACTORS.

The usual risk factors (high level of evidence):

  • Family history
  • Advanced age
  • High blood pressure
  • Diabetes
  • Cholesterol/Lipid abnormalities
  • Tobacco
  • Obesity

More recently identified risk factors with moderate evidence: inflammatory diseases (rheumatoid arthritis, psoriasis, lupus…), sleep-apnea, periodontal disease, air pollution, emotional stress…

Bypass-Graft

Regardless of the source of injury, when the endothelium of the coronary arteries is damaged, LDL cholesterol enters the artery wall and the macrophages responds with an inflammatory reaction and more damage. The cycle continues, and over time, these elements form a large plaque within the artery wall.

Many of the most important risk factors for coronary artery disease are modifiable and up to 90 % of CAD could be prevented by addressing these treatable risk factors (medication, quit smoking, regular physical activity…).

If you have coronary artery disease, the therapy should be tailor-made for you, addressing your personal medical history and based upon your medical condition.

The three treatments options for coronary heart disease are:

  1. Medical therapy.
  2. Revascularization with stenting (balloon angioplasty + stent)
  3. Bypass surgery (Coronary Artery Bypass Grafting)

Coronary Artery Bypass Grafting (CABG)

When compared to stenting, coronary artery bypass grafting is associated with best results and longer life spans in people with the most severe and complex coronary artery disease. This includes blockages in all three of the heart´s major arteries, and people with a blockage of the left main coronary artery. In addition surgery is the best option for patients with diabetes and patients with heart dysfunction.

Coronary artery bypass graft (CABG) deliver a new source of blood to regions of the heart impaired by blocked arteries. The surgeon uses arteries and veins from a different part of the body to reroute the flow of blood around the blockage. Because most people having CABG surgery require three or more by-passes, the heart surgeon uses your internal mammary artery (located on the inside of the chest wall and extremely durable) or other arteries (radial) and veins (saphenous veins in the leg).

Bypass surgery is highly invasive: it usually requires a median sternotomy incision and intensive care for a few days. There are two types of CABG operations:

  1. On pump. On-pump surgery procedures place the patient on a heart-lung machine and stop the heart temporarily. This machine takes over the function of the heart and lungs while the bypasses are performed.
  2. Off-pump. The off-pump method eliminates the need for the surgeon to stop the heart and to place the patient on cardiopulmonary bypass. This is called off-pump coronary artery bypass (OPCABG) grafting. With this approach special devices are used to expose and stabilize the coronary arteries and the surgeon is working on the beating heart.

Selection of an on-versus off-pump procedure is individual and depends on the case. One would assume that avoiding the heart-lung machine would improve the safety of CABG surgery, but recent large studies demonstrate that this offers no benefit to most patients.

Multiple Heart Bypass Surgery

The amount of coronary arteries that do not work properly points out the number of grafts that should be done. Thus, triple bypass surgery procedure is the procedure performed in order to make diversions around three of the coronary blood vessels. During this surgery there are three different grafts that will be carried out on three different blood vessels in the heart. If only two of the coronary arteries were being operated on, this surgery would be called a double bypass surgery instead of a triple.

Following the surgery, the patient is normally cleared from the hospital after around five to seven days when surgery has been successful. Apart from a substantial recovery in triple bypass surgery survival rates, patients who have gone through this surgical operation will be able to take care of their condition with minor usage of medicines A lot of of them will reduce their symptoms immediately after a few weeks, have the opportunity to get home just after a week from hospital stay and may also have the chance to return for work after a few months.

Heart Bypass Surgery Cost

Cost of Coronary bypass surgery are definitely seducing in developing countries such as India (10.000 USD including surgery, hospital Stay, hotel & airfare), in Europe countries the cost can be 50 % more economical than of USA’s cost.

Contact us and we can calculate your costs that will include the same services offered in Asia but in a Western European country where quality standards are at least at the same level as the USA’s.

Coronary Bypass Surgery
Barcelona.Spain
Phone: +34 93 220 28 09
info@promohealthbarcelona.com

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