Doctor insights on:
What Is The Age Limit Of Heart Bypass Surgery
There is no set age: However, as with any medical procedure, one must weight out the risks/benefit ration. As one gets on in age, the risks of undergoing this procedure increase, perhaps to the point where the risk of death outweighs any potential benefit. The doctor and patient must then explore all possible options. Also remember, some 80 year olds are healthier than others. ...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
See below: It is not a matter of what age you have to be. The disease tends to be more likely to be present in older people. So as you get older you are more likely to need it. If necessary, the surgery can even be done in very old patients so that age is not really a limiting factor. A child would very rarely need this type of surgery. ...Read more
Depends: The answer depends on several factors mainly having to do with how healthy the heart muscle is and how healthy the other organs are such as kidneys, lungs and blood vessels to other organs. It could range from low (2 -3%) to high (>25%). ...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
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
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
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
Many vessels blocked: The two standard reasons for a coronary artery bypass operation are "triple-vessel" disease in which 3 or more of the primary or secondary vessels have significant blockages and "left-main" disease in which the main left coronary artery has a major blockage before it branches into the left anterior descending (lad) & circumflex arteries. There are other indications depending on the situation. ...Read more
Stainless steel wire: Wires are the most common way, but cables and steel plates are also used. ...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
The sternum- breast bone is cut with a special saw and wired back together at completion and heals well in general.
Done for most congenital, valvular and coronary operations for great exposure and safety and avoids other incisions in chest or groin! ...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
Yes: Still the standard way of performing a coronary bypass procedure. ...Read more
Bypass longivity: I often hear patients claim they were told bypasses last 10 years... Not true anymore. Maybe so in the past, but no longer with improved treatments available for cholesterol, high blood pressure, diabetes etc... I have patients who are 20+ years after surgery and doing well, very well indeed. Of course much depends upon what the patient does. My best advice is only as good as it is being practiced. ...Read more
Generally the sternum is divided in the midline with a special saw.
It is then closed with special wires. ...Read more
And some good: Cor art disease is virtually entirely preventable: see my book "maximum healing"/website www. Thepmc. Org. When patients ask re side effects of meds, I humorously say :"all drugs are poison and I hope I don't kill you." it is important to avoid as many drugs/surgeries as possible, but when necessary, things usually go just fine. Risks: wound infx, stroke, death, punctured lung, med reaction, kidne. ...Read more
Second opinion: Ask your family doc to refer you for a second opinion ...Read more
Recover: Some few may need temporary and rarely permanent dialysis. ...Read more