Doctor insights on:
Coughing After Heart Bypass Surgery
The cough reflex is a protective mechanism that uses muscles in your throat and chest to expel mucous and saliva that may contain pathogens that would otherwise possibly be inhaled via aerosol or to expel pathogens infecting the throat and respiratory system. Cough benefits the host by reducing load and benefits the pathogen which may then spread via aerosol. ...Read more
The answer is everything in moderation. The american heart association and butter busters are reasonable places to start.
Watch the salt (adjust to the natural taste of things), minimize the fats, if not off limits a bit of red wine is good, all combined with graduated exercise.
For more detail, ask your doctor about a nutritionist or for additional materials he/she may have prepared. ...Read more
2-6 weeks: If you're recovering well, 2 weeks would be early but possible. 6 weeks would be entirely reasonable. ...Read more
Depends: People recover at different rates. One person may leave the hospital in just a few days whereas another may be in the hospital for weeks. When you can resume normal activities including flying in a plane depends on whether there are complications. So there is no one answer to this question. The surgeon and cardiologist will advise you depending on how quickly you recover. ...Read more
It depends.: Bypass surgery helps to enhance blood flow to the heart muscle. It doesn't cure the disease. Prognosis depends on the extent of heart damage which may have occurred. It is vital that risk factors for progression of plaque buildup be controlled. Cessation of smoking is essential. Control of hypertension and cholesterol are important. Diabetics must achieve good control. Exercise is important too. ...Read more
What is the medical term for ongoing sterum pain after heart bypass surgery. Currently at 7 months post op.
But needs evaluated for infection, instability, non-union of the bone sections.
Wire fracture and tenderness.
See the surgeon to assess, this is longer than common. ...Read more
Yes: Yes you should, unless you want to get another bypass sooner rather than later. ...Read more
Having same symptoms 2 months after heart bypass surgery. Jaw pain when walking at moderate pace?
Jaw pain is one symptom of a heart attack or cardiac insufficiency.
Make an appointment to see your cardiologist or cardiac surgeon. ...Read more
Bypass blockage: In simple terms, when you the arteries that take blood to the heart muscles are blocked, blood does not reach the further parts of the distribution area. So bypass literally bypasses the blockage with another artery supplying blood to the part of the heart distal to the blockage. ...Read more
See below: A vein can be taken from the leg, sewn to the aorta and the other end is sewn to the coronary artery beyond a blockage. Thus blood flows from the aorta, through that vein, and then into the coronary artery bypassing the blockage. Alternatively, the internal mammary artery can be connected to the coronary artery. ...Read more
Stepwise: In short, after anesthesia is induced, the chest is opened and in some cases, the heart and lungs are bypassed (some are not done this way). Then arteries or veins are used/harvested to bypass heart blockages and then the chest is then closed and anesthesia is reversed. It is a bit more complicated, but this is the best brief answer I can give. ...Read more
3 coronaries bypasse:
The heart, in general has 3 major arteries
(left anterior, circumflex and right)
but there can be a lot of variation and branches like highways and streets to get the blood traffic distributed.
We bypass those with wrecks- stenosis obstructions.
3-4 is common on the average.
More is possible depending on the anatomy and disease. ...Read more
It varies.: The average cardiac surgeries take about four hours but the actual time on the heart lung machine (bypass time) is about two hours. These time vary depending on the complexity of the procedure being performed. ...Read more
Define dangerous: It is major surgery. People who need it are already in danger, in danger of a heart attack, or a sudden life threatening rhythm disturbance. Every case is individualized; some patients (and mds) may opt for medical management. The best surgical results come from places and docs that have high volume (not a "factory"), not the occasional case. Can get info state by state re: success and complicatio. ...Read more
Not very: As expected, the first few days are rough and intravenous narcotics are given to relieve pain and promote sleep. By a week the pain is usually just soreness and easily controlled with oral meds. By a month, most people really don't have much pain or any at all. For some, the vein harvesting site in the leg stays sore longer than the chest. ...Read more
Improves blood flow: Bypass surgery is done for blockages in the heart arteries. Essentially we add more blood vessels to the heart to deliver blood to the areas blocked off. We go around the blockages (bypass). We're plumbers :). We put new pipe in by hooking up before and after the blockages. Unfortunately I can't go to home depot and buy pipe so we get it from veins in legs and arteries from breast bone and arms. ...Read more
It depends: Minimally invasive surgery can mean many things. The majority of cardiac bypass surgery is done using the heart lung machine and stopping the heart (on pump). But some surgeons do it with the heart beating (off pump). Other surgeons do it thru a 3-4 in incision between the ribs. Others do it thru several 1 inch incisions with the robot. These also can be done on or off pump. ...Read more
Yes: The effects of the cardiopulmonary bypass during the surgery together with somewhat lower blood flow to the brain and possible embolization of very small clots or calcified plaques from the major blood vessels (the latter two possible even in off bypass surgeries) can lead to memory changes. It is a very well documented side effect of cardiac surgery. In most cases the changes are minimal. ...Read more
One is surgery.: Eecp is external counterpulsation therapy for patients with angina that can not undergo coronary bypass surgery. Coronary bypass surgery requires a surgeon to open your chest and connect an artery or a saphenous vein between the aorta and the coronary arteries beyond the blockages with or without the use of a heart-lung circuit, w/wo stopping heart. ...Read more
1964: The first successful bypass surgery was done in russia by dr kolesov in 1964. In the us dr favaloro at the cleveland clinic is credited with the first in 1967. He presented a paper describing a series of several successful cases. Cases. ...Read more
Walking: Cardiac rehab. Consists of walking and supervised upper extremity excersises. In general, the longer you get to walk, minding hydration and moderation, the better off you are. The sternum takes 6 weeks to begin new bone formation, so in general no push ups or similar activity for 3-6months. You'll feel most comfortable standing up or being straight up, as this improves yourlungfunction. Sleeplazyboy. ...Read more
Be more specific: It's a huge topic. There are different definitions of 'minimally invasive' all over the literature. And the options differ for different diseases. ...Read more
CABG: Coronary bypass surgery is a highly effective treatment for symptomatic coronary artery disease not adequately controlled with diet, exercise and medications. EECP is a weakly effective treatment used when all other more effective treatments such as those above have not yielded symptom relief. It can help to improve symptoms when the more effective means haven't succeeded. ...Read more
CABG Surgery: Heart bypass surgery is for coronary artery atherosclerotic disease. Arteries and veins are used as bypass grafts to bring new blood supply into coronary arteries beyond these blockages. These operations are done usually with cardiopulmonary bypass via a sternotomy incision. Relief of angina, improved survival and heart function are the expected results. ...Read more
Yes: Heart surgery is definitely major surgery. It requires the coordinated effort of several doctors, nurses, and technicians. Often the patient is placed on the heart lung machine and the heart is stopped temporarily. The arteries on the heart are usually only 1-2 mm in size - the size of a wire in a paper clip. Fortunately the rate of complication is very small. ...Read more
It's complicated: Heart surgery is risky - there are risks of stroke, heart attack, liver failure, kidney failure, infection, bleeding, even death. However, for some patients, depending on their individual medical condition and heart blood vessel anatomy, having heart surgery is less risky than not having heart surgery. Many many studies have been devoted to trying to identify who these patients are. ...Read more
For coronary bypass operations:the list includes dying, bleeding and reoperation, infection treated by antibiotics, stroke which is rare unless other risks.
Those who need the surgery have higher risks of these items without having an indicated operation.
In general the risks added together are less than 2% even in these ill persons. ...Read more
Heart bypass surgery is for coronary artery atherosclerotic disease. Arteries and veins are used as bypass grafts to bring new blood supply into coronary arteries beyond these blockages. These operations are done usually with cardiopulmonary bypass via a sternotomy incision. Relief of angina, improved survival and heart function ...Read more
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