Doctor insights on:
6 Way Bypass Surgery
My father is 79 years old. He suffered through an on going battle with chf; as well as 6-way bypass surgery. He hasn't been able to keep food downwhy?
? Ischemic: Your father's condition is such that it should be discussed in person with his doctor. Adverse effects of medication, peptic ulcer, and chronic mesenteric ischemia are some common causes as based on his risk factors. If the bypass was recent, there is a chance they could be related and you would want to bring it to the attention of his surgeon. Blessings for your father. ...Read more
Any way to find out the overall survival rate for people who get tripple bypass surgery? Thank you.
After 2 mi's, 8 cath's, 6 stents and 2 angioplasty's in the past 2 years, should I be planning on bypass surgery in the near future?
Not necessarily: Time to change your diet. Read "prevent and reverse heart disease" by dr caldwell esselstyn. There is good evidence that a whole foods, plant based diet, that is low in fat can prevent and reverse coronary artery disease. It is a 'do no harm' intervention that could change your metabolism and propensity to develop atherosclerotic changes in your vessels. ...Read more
Heart surgery.: Bypass surgery is an operation in which surgeons create a bypass to allow blood to go around blockages in the arteries. To accomplish a bypass, surgeons use a graft - a blood vessel from the leg or chest. With the graft in place, blood can now flow freely to the heart muscle, bypassing the blocked or narrowed section of the artery. A week's stay in the hospital is usually necessary afterwards. ...Read more
Yes--may not need to: Coronary bypass is done these days using the mammary artery (from under the collarbone) to create a great size-matched bypass into the LAD (artery on the front of the heart). This almost always lasts a lifetime. Vein grafts may fail after 6 years ~ 50% of the time. It is often possible to treat these failures with stents of the original arteries (or the grafts) rather than doing another bypass. ...Read more
Medications: Not necessarily. Medications may be required to control the risk factors. ...Read more
Social: life saving, return to productive work and family life as parents and grandparents.
Economic: expensive one time for most folks-and return to taxpaying status!, . ...Read more
Be there: Just be there. Especially after he comes out of the ICU. (in the ICU, you're not allowed to be visit much and he'll be sedated and less aware that you're present.). In the next 2-4 weeks after he comes home, he'll really need help with ordinary chores like getting meals, paying bills, washing clothes, etc. ...Read more
It depends: This question is best answered by your surgeon and cardiologist. Some having heart surgery return home taking maybe one or two medications for a short time, most return on one or more meds permanently. The medications are prescribed to optimize your condition, and each patients situation is different. It is important to be compliant. ...Read more
This varies: Keep in mind, some patients travel by plane to get their surgery. In general, some risks of flying involve development of blood clots, that risk is elevated during the initial post op period. Avoided by keeping active (walk when permitted), hydration. Your surgeon will tell you. Uncomplicated surgery, 3 weeks. Again, talk to your surgeon. Sternal wires may set off certain alarm types. ...Read more
How soon can I travel in a car after bypass surgery? How long after bypass surgery can I travel in a car?
Is there a way to find out how good a hospital is when it comes to bypass surgery? What percent of pts live, etc.? Thank you.
Most of us choose a busy hospital near home and family.
Your cardiologist will likely have a credible opinion
most of the "advertising" is slanted.
Generally busy places are doing well (or hey get un-busy!). ...Read more
Bypassing...: Usually the three vessels of the heart (right coronary, left circumflex, and left anterior descending) get bypassed. There could be other combinations of these vessels for the triple bypass, though. ...Read more
About 4 hours: The average time of bypass surgery if about four hours but it depends on a lot ot things. Some surgeons are faster than others but that does not necessarily mean that faster is better. Also it depends on how technically difficult the surgery is. I can never be sure how long it will take me to drive to work. That I get there safely is the most important thing. ...Read more
Depends: It depends on what patient with what conditions. For example, if a patient comes in while they're having a heart attack, going to the cath lab for an angioplasty is much better than a bypass operation. In diabetics with two or more vessels blocked, bypass is much better. It depends on the person's medical condition and the number of vessels really. ...Read more
Depends: Too broad a question. Pts with poor heart function, mutiple vessels invoved, diabetics and left main involvement tend to be treated by bypass. The data suggests that the higher risk pts need complete revascularization and this is usually achieved by surger. With drug coated stents and improved technology the gap has closed and either may be suitable. Risks/benefits/alternatives should be discussed. ...Read more
Bypass surgery: If he has blocked coronary arteries, and they can it be fixed with stenting, then yes he will need bypass surgery. It is a big operation, but is safe if done by an experienced surgeon. ...Read more
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