Heart bypass Surgery in Kota

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Published by Sudha Hospital Editorial Team on September 23, 2022

Coronary artery bypass surgery - CABG (commonly called ‘Bypass surgery’) is done to bypass the blockages in the heart arteries. Like other organs in the body, the heart also needs uninterrupted blood supply. This is supplied by the left and right coronary arteries. When these arteries become narrowed by deposition of fat – rich material on the inside (atherosclerotic plaque), coronary heart diseases develop. The chances of developing coronary heart disease increase with age, particularly if one or more risk factors are present – overweight, diabetes , hypertension, smoking habit, high cholesterol levels, or family history. Surgery is done to abolish chest pain, improve quality of life and reduce the risk of death from the disease.

While coronary angiogram (special dye injection and filming of the heart arteries) is mandatory to diagnose coronary heart disease , ECG, ECHO, stress test add vital information.

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Treatment Options

Coronary bypass surgery and angioplasty with stent insertion form the mainstay of treatment for patients with coronary artery blockages whose disease is amenable for the same. Those with minor disease burden, anatomy of the arteries and disease not suitable for intervention or those with severely depressed heart function may be treated with medication alone.

Broadly CABG is the preferred treatment for: –

Disease of the left main coronary artery
Disease of 2 or more coronary arteries
Diabetics with more than one blocked artery
Patients with suboptimal heart function

Decision Making

Good hospitals have a multi disciplinary team approach to decide the best treatment for the individual patient. In the back drop of ACC/AHA guidelines, the cardiologist and the cardiac surgeon discuss the angiogram, the disease, the anatomy and involve the patient and suggest the right option. The patient should realize that he should also consult the heart surgeon before finalizing on the treatment mode.

CABG Procedure

CABG is amongst the most common operations performed worldwide. It is important to quit smoking for at least 4 weeks prior to surgery, have good control of blood sugar and also stop the blood thinning medicines (clopidogrel) at least 3-5 days before surgery. It may also be important to rule out blockages in arteries of the neck and legs before the surgery. The operation is done under general anesthesia through a midline cut in the chest; the conduits used for bypass are taken out from within the chest for most patients. They may also be harvested from the hand and the legs. The long term benefit (over 10-15 years) is maximum. If the conduits are taken from within the chest, as is the procedure in our centre, the surgery may be done on a stopped heart or on the beating heart (OFF PUMP CABG) as is more common. The procedure may last upto 4 hours or more depending on the complexity of the disease, number of bypasses and additional procedures.

Once shifted to the surgical intensive care the patient is maintained on ventilator to assist breathing for the first 3-4 hours, supported with analgesia and sedation. He/she is mobilised the same evening or within the next 24 hours and supported with physiotherapy and breathing exercises.

MICS CABG

Minimally invasive cardiac surgery (‘key-hole’ CABG) is a CABG performed through a small incision in the left side of the chest between 2 ribs, and is usually supported by 2 tiny cuts below the main incision. The left coronary artery blockages may be bypassed generally through this technique provided the anatomy is suitable and the conditin is not too bad. Advantages include avoidance of midline split in the breast bone, less pain, less bleeding, less hospital stay, early recovery, and good cosmetic results.

What to expect after surgery – CABG?

Early recovery: The patient would be in the ICU for 1-2 days while his heart rate, blood pressure, and oxygen levels are continuously monitored. He will have a couple of chest drains to drain the fluid accumulating near the heart and lungs during the first 24-48 hours. He will have intravenous lines in the arm/neck from which he receives medicines to regulate the blood pressure, a bladder tube to drain urine, and oxygen therapy through a mask.

The patient will have wound dressings on the chest and the leg/forearm. After 1 or 2 days he may be shifted to the high dependency unit or the ward and will be discharged in 4-6 days.

Recovery at home

Have reduced appetite – it will take days to few weeks for taste and appetite to return.
Insomnia – difficulty in falling asleep or experiencing improper sleep – this will improve. A pain pill or sleeping pill at the bed time for few days can help.
Be constipated – laxative, fruits and fibres will help.
Have swelling – if you have leg incision. Elevation of the limb and elastocrepe bandage will help. Wear leg stockings (Crepe or elastic stockings) for at least 2 weeks.
This reduces the swelling. Remove at bedtime, wash the stockings with mild soap and water, and dry them over a line.
Swelling at the top of chest incision – will disappear with time.
Numbness in the chest on side of the incision or itching over the incision – normal, will disappear with time.
Muscle pain/discomfort over the shoulder, upper back – will better with time. Pain medicines will help.
Generalized body ache and pain over incisions are common. Pain medicines can be taken at regular intervals for 10-5 days. No prizes for avoiding pain pills during this period.

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Care of the incision – Chest

Bathe with mild soap and warm water.
Avoid scrubbing over the wound dressing.
Avoid ointments, oils, lotions, powder over the incision.
Contact your surgeon for drainage of fluid from the incision, persistent fever, pain, redness, or swelling.

Medicines

Take medicines as advised for control of blood pressure, diabetes, and cholesterol lowering. These medicines apart from the obvious actions, also aid in reversing the effects of the disease on the heart.

Symptoms needing urgent attention

Heart rate more than 120 and shortness of breath.
Sudden numbness/weakness in arm/leg
Severe abdominal pain
Chills/fever
Extreme fatigue
Persistent oozing/bleeding from incision

Activity

Stop any activity if short of breath, have irregular heart beat or have chest pain – rest for 20 minutes.
Rest – Balance rest and exercise. Take short naps.
Dress – Comfortable loose fitting clothes.
Walking – Gradual increase of activities at your own pace.
Stairs – Climb at slow pace. Use legs to climb, do not pull yourself up with arms when using handrail.
Sexual – Resume activity when comfortable, about 4-5 weeks’ time.
Driving – You can ride in a car as a passenger. After 6 weeks you can ride a two – wheeler or drive a car. It takes about 6 weeks for the breast bone (sternum) to heal.
Lifting – Avoid lifting more than 3-5 kg of weight for 6 weeks, this includes carrying children, bags, moving furniture etc.
Work – Light work can be resumed 6 weeks after surgery. Heavy work, cycling, sports, swimming, heavy house work can be resumed after about 3 months – confirm with your surgeon.

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Which hospital si the best Heart Hospital for Coronary Bypass Surgery in Kota?

Sudha Hospital & Medical Research Centre is the best hospital for Coronary Bypass Surgery in Kota. Sudha Hospital has 3 highly experienced Heart Surgeons in kota under one roof. Sudha Hospital has dedicated Cathlab, Advanced ICU and state of the art technology for all heart treatments. Sudha Hospital is one of the leading Heart Hospital in Kota. Sudha Hospital is offering best heart treatment at affordable prices in Kota. Dr. Palkesh Agarwal is the first choice of patients when they have to make a selection of heart surgeon in Kota for Heart Bypass Surgery. Success rate of Heart bypass surgery is excellent at Sudha Hospital. Technicians, OT Staff and all other nursing staff of our Cardiology department at Sudha Hospital is very professional, highly experienced and well behaved. Patient care is our first and last goal at Sudha Hospital Cardiac Care Department. Moreover Sudha Hospital is a cashless Hospital, it is empanelled with all major Health insurances companied and TPAs, if you have any type of health insurance you may take advantage of our world class heart care services at Sudha Hospital & Medical Research Centre Kota. Sudha Hospital is empanelled with Mukhyamantree Chiranjivi Swasthya Bima Yojna and RGHS which further will help you to under go a free of cost Heart bypass Surgery in Kota, If you have anyone of these cards you may get free heart bypass surgery in Kota at Sudha Hospital & Research Centre. So if you are looking for a Heart Bypass surgery in Kota give us a chance to serve you and treat you. Sudha Hospital has in-house Blood Bank for all emergency blood needs require during the surgery.

What is Coronary Artery Bypass Surgery cost in Kota?

Answer: Coronary Artery Bypass Surgery in Kota will cost you in a price range of 1.5Lakh to 2.5Lakh rupees anywhere in Kota. However at Sudha Hospital & Medical Research Centre you may get a fre Coronary Artery Bypass Surgery in Kota by using Mukhyamantree Chirnajivi Swasthya Beema Yojna Benefits or If you are a Rajasthan Government employee, you just have to produce your RGHS card at Sudha hospital, by doing so you will get world class heart treatment for free in Sudha Hospital.

Frequently Asked Questions About CABG

1How many days rest after CABG?

Recovering from a coronary artery bypass graft procedure takes time and everyone recovers at slightly different speeds. Generally, you should be able to sit in a chair after 1 day, walk after 3 days, and walk up and down stairs after 5 or 6 days. Most people make a full recovery within 12 weeks of the operation.

2What should you not do after CABG?

For 3 months, avoid activities that strain your chest or upper arm muscles. This includes pushing a lawn mower or vacuum, mopping floors, or swinging a golf club or tennis racquet. For at least 6 weeks, avoid lifting anything that would make you strain.

3What is the most common complication of CABG?

Blood clots that can cause heart attack, stroke, or lung problems.

4Do sternal wires stay in forever?

Image result When that sternum is together, like any broken bone, it will mend to about 90 percent of its normal tensile strength about 8 to 10 weeks after the bone has been put together again. At that point, the bone is essentially mended, and you don't need the wires anymore.

5How do you sleep after CABG surgery?

Image result If you had a CABG using a blood vessel in your leg, initially sleeping with your legs elevated on pillows helps prevent swelling, while keeping your legs uncrossed avoids impairing your circulation

6How long does chest hurt after CABG?

You will feel tired and sore for the first few weeks after surgery. You may have some brief, sharp pains on either side of your chest. Your chest, shoulders, and upper back may ache. These symptoms usually get better after 4 to 6 weeks.

7Can you live a normal life after CABG?

The cumulative survival rates at 10, 20, 30 and 40 years were 77%, 39%, 14% and 4% after CABG, respectively, and at 10, 20, 30 and 35 years after PCI were 78%, 47%, 21% and 12%, respectively. The estimated life expectancy after CABG was 18 and 17 years after the PCI procedures.

8Can you have a normal life after heart bypass surgery?

Although CABG is a major operation, most people make a good recovery, and 95 percent of people have no serious complications. Heart surgeons go through years of specialized training. They work with teams of skilled nurses and other specialists to get their patients safely through surgery and back to a normal life.

9What is the success rate of CABG?

By restoring blood flow to the heart, CABG can relieve symptoms and potentially prevent a heart attack. Coronary bypass operations are performed half a million times a year with an overall success rate of almost 98 percent. There are two types of CABG operations currently available: on-pump and off-pump surgery.

10How many bypasses can you have?

Surgeons can address more than one artery in a single operation. A double bypass involves two repairs, a triple bypass involves three, and a quadruple bypass involves four. The quintuple bypass is the most intricate heart bypass surgery and includes all five of the major arteries feeding the heart.

11Can you feel the wires after open heart surgery?

When the heart repair is finished, wires are used to hold the breastbone together. Scarring around the twisted portion of the wires can cause the painful "poking" sensation your father is experiencing.

12Why do they give you a pillow after heart surgery?

Image result When a patient holds the heart pillow tightly against his or her chest, the pillow provides an extra layer of pressure to counteract any jolting from a cough, sneeze or movement. It helps reduce pain because it holds the incision and sensitive skin surrounding the incision firmly in place.

13Do sternal wires need to be removed?

Once other causes of anterior chest pain such as sternal instability, mediastinitis, and cardiac causes such as ischemia are excluded, sternal wire removal is usually recommended.

14How long are you in ICU after open heart surgery?

Image result Your recovery will begin in the hospital's intensive care unit (ICU) and typically will continue in another area of the hospital for three to five days before you go home. Once you have been discharged from the hospital, recovery typically takes six weeks or more.

15Does your chest grow back together after open heart surgery?

During heart surgery, the sternum is split to provide access to the heart. The sternum is wired back together after the surgery to facilitate proper healing

16How do you stop coughing after bypass surgery?

How to Cough After Surgery. When you feel the urge to cough, you should brace your incision if you have had a chest or abdominal surgery. That means taking your hands or a small pillow and hugging it to your incision when you cough, applying gentle but firm pressure.

17How long do CABG grafts last?

How long do bypass grafts last? People tend to do very well after heart bypass and most get a good 15 years before needing another intervention, which at that point would almost always be having a stent inserted.

18Can you fly after bypass surgery?

Those who have had heart valve repair or replacement surgery or coronary artery bypass grafts (open heart surgery) can usually fly after 4-6 weeks (longer if they have had pulmonary complications).

19Do you need blood thinners after CABG?

However, medications like blood thinners and statins are strongly recommended after surgery to prevent complications and improve survival. To explore the rates and impact of medication use after CABG, experts analyzed data from Swedish registries that track hospitalizations, prescription use and mortality.

20What is the best exercise after bypass surgery?

Walking. This walking program will improve the fitness of your heart, lungs and muscles. All muscles must be built up slowly, and the heart is no exception. This walking program will gradually reintroduce your heart to exercise, starting with very short walking periods.

21Why do bypass grafts fail?

After grafting, the implanted vein remodels to become more arterial, as veins have thinner walls than arteries and can handle less blood pressure. However, the remodeling can go awry and the vein can become too thick, resulting in a recurrence of clogged blood flow.

22Can you have CABG twice?

When a coronary artery bypass grafting (CABG) patient needs a second surgery because of recurrent chest pain, more often than not it's a percutaneous coronary intervention (PCI), commonly known as coronary angioplasty with stents.

23Is there an age limit for heart bypass surgery?

Cardiac surgery can be performed in patients 85 years and older with good results. There is an associated prolonged hospital stay for elderly patients. Consistent successful outcomes can be expected in this patient population with selective criteria identifying risk factors.

24What is the most complicated heart surgery?

Cardiac Center Open heart procedures, which represent a major portion of our volume, require cardiopulmonary bypass (heart-lung bypass machine) and are usually the most complicated and complex procedures.

25How often do sternal wires break?

The incidence of wire fracture with sternal dehiscence requiring further debridment and refixation is about 0.4% in our patient population. It has been reported that sternal dehiscence could happen under physiologic loads, e.g. coughing and cyclic respiration.

26How long does breast bone take to heal after heart surgery?

Six to 10 weeks after surgery If you had open heart surgery and your surgeon divided your sternum, it will be about 80% healed after six to eight weeks.

27Can sternal wires break?

Mainly, two reasons respond for the sternal wire fracture: the overloading due to the patient's activity and the wire mechanical fatigue, such as growth of sternum, activities, and the sharp increase of wires' yield strength (2). Usually, wire fracture occurs a week or more after surgery.

28How long do you cough after open heart surgery?

Conclusions: Postoperative changes in respiratory muscle strength and spirometry can persist up to at least 8 weeks postoperatively. Many patients report a change in respiratory symptoms of cough, phlegm, dyspnea, or wheeze.

29How long after open heart surgery can you shower?

If you have stitches in your chest, during the first two weeks after surgery, shower with your back to the shower spray. It is okay for your incision to get wet, but the shower spray should not directly hit your chest. If you do not have a shower, you may take a quick bath (no longer than 10 minutes).

30How long wear chest belt after open heart surgery?

Image result Your sternum will be completely healed in about 6 to 8 weeks. You should wear the vest every day during the healing process. Keep the vest on all the time, except when you shower.

31Is it OK to sneeze after open heart surgery?

Feeling a bit of pain when you cough or sneeze is not just normal, it's unavoidable. In fact, you'll see a lot of folks who've had heart surgery give warnings about that first sneeze after surgery. However, though it might hurt, it's not going to do any damage to your body.

32How do you clear phlegm after open heart surgery?

1. Take a deep breath. 2. Place the mouthpiece in your mouth and seal your lips around it. Inhale. 3. Exhale actively, but not forcefully. 4. Do this exercise for at least 10 breaths every hour when you are awake. 5. Cough two to three times to clear secretions.

33How long does it take to do bypass surgery?

Coronary artery bypass graft surgery usually lasts 3 to 6 hours. But it may take longer depending on how many blood vessels are being attached. Blood vessels can be taken from your leg (saphenous vein), inside your chest (internal mammary artery), or your arm (radial artery).

34Is CABG a major surgery?

Coronary artery bypass grafting (CABG) is a major surgical operation where atheromatous blockages in a patient's coronary arteries are bypassed with harvested venous or arterial conduits.

35Is CABG a high risk surgery?

As with all types of surgery, a coronary artery bypass graft carries a risk of complications. These are usually relatively minor and treatable, such as an irregular heartbeat or a wound infection, but there's also a risk of serious complications, such as a stroke or heart attack.

36Can you have heart failure after bypass surgery?

Follow-up care is of great importance since people who have had bypass surgery have a significantly increased risk of more cardiac events, including recurrent chest pain, heart attack, heart failure, and an increased risk of dying.

37Is it common to have a stroke after bypass surgery?

According to the Society of Thoracic Surgeons CABG Adult Cardiac Surgery Database (STS ACSD), the incidence of stroke after CABG is 1.3%, with a decrease from 1.6% to 1.2% between 2000 and 2009

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