Doctor insights on:
What Are The Advantages And Limitations Of Coronary Artery Bypass Surgery
Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more
Complex, routine: With or without a heart-lung machine to isolate the heart from the circulation, conduits like vein segments or arteries are placed from the aorta (oxygenated blood) to the target artery beyond the blockage site, thus restoring oxygen to the heart muscle. If suitable, off-pump procedures can be used, though uncertain how much is gained with that less traumatic technique. ...Read moreSee 1 more doctor answer
How much blockage must there be of coronary arteries to be recommended for bypass surgery versus just getting stent?
Not about degree : it is not about the degree or percentage of blockage. It is about the location or number of areas that have disease. There are also other factors that play a role such as history of diabetes or poor heart function. Most commonly: if the left main artery or all three of the major coronary artery's have significant blockage then surgery is recommended. ...Read more
How often robotic assisted coronary artery bypass surgery used and advantage co or pro over the regular bypass.
Many: Stop angina in some patient groups, prolong survival. Increase coronary blood flow. Follow with cardiac rehab to prevent new or recurrent issues. Limited by patient risk factors, and behavior (smoking, obesity, diabetes) some immediate risk of the surgery for dying, bleeding, infection, stroke but < 2% in general. ...Read more
Step by step: Hello leenicole-- coronary artery bypass ad graft surgery is done in a strict step by step procedure involving first obtaining the bypass graft vessels -- which could be veins in the leg or arteries in the arms/chest -- then the sternum (chest bone) is split and forced open to access the heart in full view and the blocked vessel is bypassed -- etc. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Not bad: The average national mortality rate for CABG is less than 2%. Other more serious complications occur less than 10% of the time. ...Read more
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