Why Heart Bypass Surgery is Needed?

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Coronary Artery Bypass Grafting
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About CABG

• Coronary artery bypass grafting (CABG) is a
  medical procedure which aims at improving the
  blood flow to the heart. This surgery is done to
  treat people who are suffering with serious
  coronary heart disease.
• Coronary heart disease is a disease in which a
  plaque gets formed within the arteries and
  further affects the proper blood flow to the
  heart. The function of these arteries is to
  supply oxygen-rich blood to your heart.

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• Coronary artery bypass grafting (CABG) can also
  be a better choice if there are blockages in the
  heart that can't be treated with angioplasty. In
  this situation, coronary artery bypass grafting
  (CABG) is considered more effective than other
  types of treatment.
• One may need to go through the surgery again if
  grafted arteries or veins get blocked, or if new
  blockages start in arteries that were not blocked
  prior to the procedure. Making lifestyle changes
  and taking prescribed medicines as your doctor
  advises can reduce the chance of a graft becoming
  blocked.

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Why might I need Coronary Artery Bypass Grafting

• Symptoms of coronary artery disease may include
•     Chest pain    Fatigue (severe
  tiredness)    Palpitations    Abnormal heart
  rhythms    Shortness of breath    Swelling in
  the hands and feet    Indigestion
• There are no early symptoms if coronary artery
  disease is not so severe, yet the disease will
  continue to progress until theres enough artery
  blockage to cause symptoms and problems.

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Types of Coronary Artery Bypass Grafting (CABG)

• Minimally invasive direct Coronary artery bypass
  grafting - In minimally invasive direct coronary
  artery bypass grafting (CABG), small incisions
  are made on the left side of the chest, between
  the ribs. This type of surgery is mainly
  performed to separate the blood vessels in the
  front of the heart. Minimally invasive direct
  coronary artery bypass grafting (CABG) initiates
  faster recovery, has fewer complications, and
  causes less pain following the surgery.

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• Traditional Coronary artery bypass grafting - In
  traditional coronary artery bypass grafting
  (CABG), the chest bone is opened to operate the
  heart. This surgery is often performed to bypass
  at least one major artery. Medicine is given to
  stop the heartbeat so that the doctor can operate
  on a still heart. The heart-lung bypass keeps on
  transporting the blood and oxygen throughout the
  body.

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• Off Pump Coronary artery bypass grafting (CABG)
  - This type of Coronary artery bypass grafting
  (CABG) is similar to traditional CABG because the
  chest bone is opened to access the heart.
  However, the heart isn't stopped, and a
  heart-lung bypass machine isn't used. Off-pump
  Coronary artery bypass grafting (CABG) is
  sometimes called beating heart bypass grafting.

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What risks will I face while undergoing the CABG
procedure?

• Some possible surgical risks for Coronary artery
  bypass grafting (CABG) include
• High fever
• Infection
• Bleeding or infection at the site of the incision
• Reaction to the anesthesia
• Blood loss
• Developing a blood clot that could affect the
  lungs
• A sudden heart attack or stroke

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• High fever
• Infection
• Bleeding or infection at the site of the incision
• Reaction to the anesthesia
• Blood loss
• Developing a blood clot that could affect the
  lungs
• A sudden heart attack or stroke

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Before a Coronary Artery Bypass Grafting (CABG)

• Echocardiography- This test gives the moving
  image of your heart by producing sound waves.
  This test also shows the size and shape of your
  heart and checks if all the valves and chambers
  are working.
• Electrocardiogram (EKG) - The electrical activity
  of the heart is, recorded via this test. This
  test also measures the heartbeat count of your
  heart.
• Coronary angiogram- This test involves the use of
  dye to show the blood moving through your
  arteries.
• Stress Test A cardiac stress test is a
  cardiological test that determines the hearts
  ability to respond to external stress in a
  controlled clinical environment. The stress
  response is often induced by intravenous
  pharmacological stimulation or by exercise.

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What are the benefits of coronary artery bypass
grafting (CABG)?

• The benefits of coronary artery bypass grafting
  (CABG) are
• Relief from chest pain or angina.
• The risk gets decreased about completely choking
  the coronary arteries, which decreases the risk
  of a heart attack.
• Results of CABG last longer as surgical
  revascularization is long lasting than a stent
  procedure.

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Are there any alternatives to coronary artery
bypass grafting?

• Medications that dilate your blood vessels to
  allow normal blood flow. The doctor may prescribe
  medications, such as beta-blockers, nitrates,
  calcium channel blockers, and lifestyle changes,
  such as to quit smoking, eating a more
  heart-healthy diet and exercising. These changes
  can surely ease your heart problems.   
   Balloon Angioplasty    Coronary Stenting  
   Laser Angioplasty

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Best hospitals for Coronary Artery Bypass
Grafting (CABG) in India?

•     Fortis Escorts Hospital, New Delhi  
   Asian Heart Institute, Mumbai    Apollo
  Hospital, Chennai    Fortis Escorts Hospital,
  Bangalore    Artemis Hospital, Gurgaon  
   Medanta the Medicity, Gurgaon    Max Super
  Specialty Hospital, Delhi    Fortis Memorial
  Research Institute, Gurgaon    Indraprastha
  Apollo Hospital, New Delhi    BLK Super
  Specialty Hospital, New Delhi

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Cost comparison of coronary artery bypass
grafting (CABG) in India to other countries?

• Cost of coronary artery bypass grafting (CABG) in
  India will be around Rs. 4 Lakhs (6,000).
• Cost of coronary artery bypass grafting (CABG) in
  Turkey will be around Rs. 6 Lakhs (8,000).
• Cost of coronary artery bypass grafting (CABG) in
  Mexico will be around Rs. 10 Lakhs (14,000).
• Cost of coronary artery bypass grafting (CABG) in
  Thailand will be around Rs. 13 Lakhs (19,000).
• Cost of coronary artery bypass grafting (CABG) in
  Poland will be around Rs. 15 Lakhs (22,000).
• Cost of coronary artery bypass grafting (CABG) in
  Spain will be around Rs. 17 Lakhs (24,000).
• Cost of coronary artery bypass grafting (CABG) in
  UK will be around Rs. Rs. 20 Lakhs (28,000).
• Cost of coronary artery bypass grafting (CABG) in
  Australia will be around Rs. 22 Lakhs (32,000).
• Cost of coronary artery bypass grafting (CABG) in
  USA will be around Rs. 60 Lakhs (90,000).

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