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Synopsis

When your heart’s blood supply is compromised by blocked arteries, it is time for an effective solution: the CABG surgery. A well-established surgical procedure, CABG has helped millions restore their heart’s health and function. Gleneagles Hospital is known for its expertise in treating heart-related major and minor issues, with a high success rate, and CABG surgery is one of them.

Introduction

The human heart is the engine that powers the whole body, working continuously without stopping. Like any other organ, the heart also requires oxygen-rich blood for working and energy generation, which is provided to it by coronary arteries. However, what if it gets jammed due to hindrance from blood clots formed in these arteries? This is why Coronary Artery Bypass Grafting (CABG) surgery is often recommended. A necessary intervention when lifestyle changes and medications are no longer effective. CABG is recommended to the patient if they are suffering from:

  • Myocardial Infarction
  • Angina
  • Heart Failure
  • Severe Blockages

Given the complexity of CABG surgery, choosing a leading healthcare institution is crucial for successful outcomes This is where Gleneagles hospital comes into the picture, a premier multidisciplinary hospital in cardiac care known for its exceptional team of cardiac specialists and use of modern healthcare technology. 

What is CABG Surgery?

CABG (Coronary Artery Bypass Graft) is a surgical procedure that restores blood flow to areas of the heart affected by narrowed or blocked coronary arteries. Rerouting of blood above the block is accomplished by bypassing the blockade through healthy arteries taken from a distant part of your body, such as an arm, leg, or chest. This bypass allows oxygen-rich blood to flow to the damaged areas of the heart, improving heart function and preventing further heart complications.

 

The procedure is typically done to correct coronary artery disease (CAD), which is usually due to a deposit of plaque (fatty material) within the coronary arteries. The plaques, over time, narrow the arteries, causing ischemia (decreased blood supply to the heart) and can result in heart attacks. CABG heart surgery in Hyderabad or anywhere solves this problem by providing new routes for blood to circulate, essentially bypassing the obstructed parts of the arteries.
 

What is CABG Surgery?

Types of CABG Heart Surgery in Hyderabad

Coronary Artery Bypass Grafting in Hyderabad can be divided into several types, and each of these surgeries has its benefits and limitations. Each type of surgery is chosen based on the patient’s specific condition and medical needs. These types include:

  • Traditional CABG: It is the most common type of CABG heart surgery in Hyderabad and across the world. Traditional CABG involves a large incision down the chest, cutting the breastbone. A heart-lung machine is temporarily used during the whole procedure, which takes over the functions of the heart and lungs.
  • Off-Pump CABG: Unlike a traditional CABG, this surgery does not require a heart-lung machine to take over the function of the heart. Since the procedure is done while the heart is still beating, it is also known as beating heart surgery.
  • Minimally Invasive CABG: As the name suggests, Minimally Invasive CABG surgery includes a much smaller incision and does not involve cutting the breastbone. Due to the minimally invasive nature of the surgery, it offers faster recovery along with less pain.
  • Robot-Assisted CABG: Robot-Assisted CABG involves using robotic arms controlled by the surgeon to commence the surgery with precision without the need for larger incisions. This surgery has gained significant popularity due to its high precision and smaller incisions. 

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Preparing for Coronary Artery Bypass Grafting in Hyderabad:

Preparing for the Coronary Artery Bypass Grafting in Hyderabad is one of the most crucial parts of the procedure. Correct preparatory protocols are followed to test the compatibility of a patient for the CABG, which includes:

  • Review of Medical History: Your surgeon will go through your complete medical history to identify any signs of allergies or other medical conditions.
  • Imaging Tests: Imaging tests play a crucial role in identifying the precise location and severity of coronary disease. These tests include CT scans, angiography, echocardiograms, etc. Imaging tests also help in planning the surgery for a successful outcome.
  • Blood Tests: Blood tests are conducted to identify any underlying conditions and other crucial factors like cholesterol levels, kidney function, blood clotting ability, and other essential markers. These markers are necessary as they can significantly impact the whole surgery or recovery process.
  • Discontinuation of Certain Medications: Certain medications and consumables are also advised to be stopped before the surgery. These medications may include a blood thinner and steroids. Make sure to inform your surgeon about any medications you are currently taking to avoid the risks and complications during and after the surgery.
  • Fasting: As the surgery is done under anaesthesia, you will also be instructed to fast for at least 8 to 12 hours before the surgery. This is done to avoid the chances of any risks and complications posed by anaesthesia.

The procedure of CABG Heart Surgery in Hyderabad

The complete CABG Heart Surgery in Hyderabad is performed in several stages under general anaesthesia, which includes:

  • Set-Up for the Surgery: The surgery begins by connecting the patient to various life-supporting machines, including a heart-lung machine, while they are under anesthesia.
  • Harvesting Blood Vessels: A healthy blood vessel, generally from the leg (saphenous vein), chest (internal mammary artery), or arm (radial artery),  is used as a bypass graft.  
  • Making an Incision: In this stage, the surgeon will make a large incision, cutting open the chest and splitting the breastbone for easy access to the heart. With advancements in medical technology, this large incision has been replaced with a smaller one.
  • Bypassing the Blockage: The blood vessel that was harvested earlier will now be attached at one end to the aorta and the other end to just below the blocked coronary artery. This creates a bypass or new path for the smooth flow of blood across the blocked section.
  • Closure: After placing the bypass grafts, the surgeon will close the incision and restore the heart’s normal function by removing the heart-lung machine. 

Recovery and Aftercare

Your healthcare provider is the right person to tell you the exact period of your recovery. However, it can take a few weeks to months for a full recovery. Initially, after the surgery, the patient will be transferred to the ICU before moving to the other ward. During your stay in the ICU, your doctor will carefully monitor your vital signs and heart function to track your overall progress after the surgery.

 

You may also be provided with some medications and other consumables to help manage the post-surgery discomfort and pain. A few days after the surgery, you may also be advised to take physical therapy sessions for a faster recovery and restoring strength. After discharge, patients are commonly referred to a cardiac rehabilitation program within the hospital. This program helps educate and guide them through the recovery process for better long-term heart health. 

Risks and Complications

Just like any other major surgery, Coronary Artery Bypass Grafting in Hyderabad poses a potential threat to the health of a patient, which includes:

  • Infections at the site of incisions.
  • Excessive bleeding during and after the surgery.
  • Irregular beating of the heart or Arrhythmias, a common condition after a heart surgery.
  • Formation of blood clots that can reach crucial organs like the brain or lungs, causing stroke or pulmonary embolism.
  • Heart attack or chronic heart damage.
  • Short-term memory loss or confusion due to the effect of anaesthesia. 

Why Choose Gleneagles Hospital for CABG Heart Surgery in Hyderabad?

If you seek a comfortable environment paired with cutting-edge heart surgery techniques, this hospital could be the ideal choice for you or your loved ones. Here are some reasons why Gleneagles can be your one-stop destination:

  • Advanced Cardiac Rehabilitation Programs on the premises of the hospital itself.
  • The hospital is equipped with the latest medical instruments and infrastructure to provide their patients with the best.
  • Gleneagles is home to some of the most experienced cardiac surgeons and doctors.
  • Personalised care and treatment are provided to fit the needs of a specific patient. 

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Frequently Asked Questions

Is CABG heart surgery in Hyderabad safe?

Yes, CABG heart surgery in Hyderabad is safe, with skilled cardiologists and modern medical facilities, enabling high success rates.
 

Do I need to stay in the hospital after CABG heart surgery in Hyderabad?

Yes, following CABG heart surgery in Hyderabad, patients stay in the hospital for 5-7 days for observation and recuperation before discharge.
 

Can I get back to normal activities after CABG heart surgery?

The majority of patients can return to normal activities within a few months after CABG heart surgery, but it is always best to adhere to the advice of your doctor for a smooth recovery.
 

How long does CABG heart surgery in Hyderabad take?

CABG heart surgery in Hyderabad generally takes 3-6 hours, depending on the complexity of the procedure.

Is it necessary to have a second surgery after Coronary Artery Bypass Grafting?

In most cases, a second surgery is unnecessary after Coronary Artery Bypass Grafting in Hyderabad, provided post-surgery care and lifestyle modifications are followed correctly.
 

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