Doctor insights on:
Life Expectancy After Coronary Bypass Surgery
There are some indications, and some risks.
Many patients have multiple vessels involved and on the back of the heart.
Standard operation gives great exposure, full revasculariazion with low risk through the years.
Some minimal are also not so minimal!, when examined! ...Read more
Anatomy: It would largely depend on the coronary anatomy and location of the target vessel/s and the surgeon -- not the patient criteria. ...Read more
I would like data on how scientists have studied the effectiveness of coronary bypass surgery. do you know where I could find this info?
Much written: There is a great deal written about this subject. Much more than I can possibly summarize here. I tried to find you a reference that will provide the basics. Check this out: https://onedrive.live.com/view.aspx?cid=2F8A515DD480D840&resid=2F8A515DD480D840%211444&app=WordPdf ...Read more
Bucks and injury: Over the last several years angioplasty has exceeded coronary bypass surgery as the preferred way to treat coronary artery disease. Optimistic coronary bypass patients are half as likely as pessimists to require re-hospitalization. The big bucks are in triple coronary bypass surgery, not routine visits to the doctor's office. ...Read more
Medication: However, medication is generally not nearly as good a substitute in terms of restoring adequate blood flow to the heart muscle as is bypass surgery in the patients who are recommended to have bypass surgery. ...Read more
Is there any chance of heart not re starting once surgeon stops it in coronary bypass surgery for young patients?
My father aged 59 was found to have 3 heart blocks...Now he underwent bypass surgery with 2 bypasses..What is his life expectancy?
It depends: His surgeon would be a better resource. Life expectancy depends on several things. How well does his heart squeeze? Were all the blockages bypassed? How healthy are the rest of his arteries? Does he have lung disease, diabetes, other health issues? Is he smoking? Will he change his risk factors? Assuming no other issues and normal heart function then he should do very well. ...Read more
Absolutely!: If somebody is diagnosed with coronary heart disease before any damage is done to the heart muscle, we now have the tools to provide a totally normal life in many such patients. By restoring blood flow, and then aggressively preventing this process from coming back (diet, exercise, quitting smoking and aggressive medications), the outlook is often excellent. ...Read more
Maybe: Experimental models (mice, chickens) have shown some benefit of Adenosine before and during cardiac surgery. However, clinical studies in actual patients have not shown as significant a benefit - similar to Adenosine treatment in patients with acute mi. ...Read more
Yes: 1.Sternotomy, 2.Conduit harvest, 3.Full heparinization and institution of cardiopulmonary bypass, 4. With or without induction of cardioplegic arrest, 5. Microsurgical arteriotomies and anastomoses of the end of the conduits to the side of the coronaries distal to the obstruction and to the aorta, 6.Restoration of systolic function, wean off cpb reverse hep., hemostasis, chest tubes, pacing leads, close. ...Read more
Stroke: Stroke, risk of infection , risk of death all less than 2percent in most cases. ...Read more
6-12 week restricted: The sternum (breast bone) is the vulnerable item after bypass and one shouldn't drive or lift anything >5# for 6 weeks. No heavy lifting for 12 weeks. One can walk and shower within days. Sex is okay when one feels well enough. Fatigue is common for 1 - 3 months. Appetite may be depressed the first several weeks. Pain is minimal & easily controlled. ...Read more
STS risk calculator:
You can estimate the risk with the sts risk calculator. Search "sts risk calculator" on your favorite search engine. Based on many factors; age, comorbodities, renal function, ect... It will estimate the risk of having surgery.
For a healthy 50 yo it should be around 1% mortality if undergoing bypass. ...Read more
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