CABG is one treatment for Coronary Heart Disease (CHD) or Coronary Artery Disease (CAD). Coronary Artery Bypass Grafting (CABG) is a surgery that enhances blood flow through the arteries. Coronary Artery Bypass Grafting surgery remains the commonest heart operation undertaken globally.
#1 Conventional CABG
When a heart-lung machine with cardiopulmonary bypass is used to perform the operation, it is called Conventional CABG. The heart-lung machine allows heart beat to be stopped, still maintaining life, so the cardiac surgeon can operate on a surface, which is blood-free and still.
This heart-lung machine removes carbon dioxide from the blood and replaces it with oxygen before pumping it around the body.
#2 Beating Heart Bypass Surgery (Off-pump Surgery)
Beating Heart Bypass Surgery allows cardiac surgeons to perform surgery on heart while it is still beating. A medication may be given to slow down the heart beat during surgery. This type of surgery may be an option for patients with single-vessel disease.
The cardiac surgeon uses high-tech advanced equipments to stabilize portions of the heart and bypass the blocked artery in a highly controlled operative environment. Meanwhile, the rest of the heart keeps pumping and circulating blood to the body.
#3 Minimally Invasive Cardiac Surgery
The major concerns of a cardiac surgeon is to improve the patient’s comfort by reducing the pain. This is where “minimally invasive cardiac surgery” comes in. It makes the procedure less invasive as this surgery is performed through a small incision (about 3 - 4 inches), often using specialized surgical instruments.
Benefits of Minimally Invasive Cardiac Surgery
Your cardiac surgeon or consultant will let you know whether the patient requires a coronary bypass surgery or an alternative artery-opening procedure such as angioplasty or stenting.
When there are serious or multiple narrowing’s or blockages of the coronary arteries, patients can often benefit from coronary artery bypass surgery, which is undertaken by best cardiac surgeons.
CABG is an option if:
Why has my doctor recommended Coronary Artery Bypass Grafting (CABG)?
Because you may have significant narrowing or blockages in your coronary arteries or coronary artery disease has progressed beyond the point.
What are the types of CABG?
There are basically three types viz. Conventional CABG, Beating Heart Bypass Surgery (Off-pump Surgery) and Minimally Invasive Cardiac Surgery. Detailed description is given above.
What to expect before CABG Surgery?
Your consultant might ask you to take a number of tests like blood tests, EKG, echocardiogram, chest x ray, cardiac catheterization, and angiography. Apart from that you will receive detailed instructions from your doctor on how to prepare for CABG surgery.
What to expect after coronary artery bypass grafting?
After your coronary artery bypass grafting procedure, you will generally spend 1 to 2 days in an intensive care unit to monitor heart rate and blood pressure. When your condition is stabilized you will be moved to less intensive care area of the hospital for 3 to 5 days of monitoring.
How soon after surgery can I resume normal activity?
Typically, recovery takes from 4 to 6 weeks. During this time, you’ll gradually regain your energy and will be able to return to your normal routine.
Will I need to take medications after my surgery?
Yes, you may have to take medications after your surgery which depends on your overall health and the particular nature of your coronary artery disease you have been treated. Your surgeon will prescribe the medicines you need.