Doctor insights on:
What Body Cavity Is Used To Perform Coronary Artery Bypass Surgery
Center of chest: Coronary bypass operation is performed by cutting the breastbone down the middle and opening up the chest. When the parts of the split breast bone are moved to each side the heart is easily reached. Once the coronary vessels have bypasses in place the sternum is brought back to the middle and held with wire sutures that are permanent. ...Read moreSee 1 more doctor answer
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
Depends comorbidity: The society of thoracic surgeons risk calculator determines what was the actual mortality and morbidity on cardiac surgery patients depending on age, weight, renal function, number of vessels involved, left main disease, valvular disease, pulmonary function, cardiac function, existing comorbidities, diabetes, emergency, recent myocardial infarct, salvage, first, second third or more reoperation. ...Read moreSee 1 more doctor answer
Neck artery is 85-90% blocked. Is it best to get the next surgery or the angioplasty procedure done with her artery being 85-90% blocked?
What to do if neck artery is 85-90% block.. next surgery or the angioplasty procure done with her artery being 85-90% blocked?
Carotid disease: We generally do not recommend surgery for carotid disease without symptoms. If a patient has high degree carotid stenosis and symptoms compatible with that lesion, surgery might be considered. Such surgery would require an experienced and effective surgeon in the procedure. If present in a patient, the discussion of appropriate therapy should take place with the attending Doc. ...Read more
What are reasons to get heart bypass surgery rather than angioplasty with a stent to open the arteries?
Can stent be used to open 100% blockage in an artery such as LAD during cardiac catheterization procedure . Cons and pros please. Thank.
Yes, if needed: Total blockage may occur suddenly - this is what causes a heart attack. Then the goal of the procedure is to get the blocked artery open asap (<90min) to save otherwise dying heart muscle. If the blockage is chronic, then it should be opened if the supplied muscle is alive and the patient's active lifestyle brings out symptoms. Stress scanning may be helpful to determine this. ...Read moreSee 1 more doctor answer
Rare!: Endarterectomy is not commonly performed during coronary artery bypass grafting; but in the strict sense of it, it is the removal of the plaque and really part of the inside wall of the artery during the operation. This by the way, is the common way of clearing the carotid arteries (arteries in the neck). ...Read moreSee 1 more doctor answer
Artery atrophies: Typically the bypassed artery has no blood flow (hence the need for a bypass) and simply atrophies / scars down. The nerves are preserved and should not be affected by a bypass. The nerves in the skin which are cut during the procedure and cause skin numbness may improve over a six month period. Any numbness after 6 months is unlikely to get any better. ...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
What procedure can be done to eliminate infection in leg after blood vessel graft following heart bypass?
Infection: Any infection after surgery is bad. You probably need IV antibiotics and get a culture from the infected site. This my need a readmission for proper treatment. Please see the doctor. ...Read more
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
Risk vs Benefit: There is risk with all surgeries even those done with wires manipulated through the arteries (angiography/angioplasty). In experienced hands, these risks are minimal. However, pad if untreated can lead to severe pain, open ischemic ulcers, gangrene and loss of your limb. Given the choice, if you are having symptoms, then treatment is safer than waiting. ...Read moreSee 1 more doctor answer
Depends on country: The specific cost of operations vary with the country, city, hospital, surgeons. Actual cost is multifactorial. Ask your hospital. ...Read more
The nerves will: remain intact if not severed or disconnected from their own blood supply. The artery will wither undergo atresia or remain functional and become part of the collateral circulation. Hope this helps. ...Read more
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