{"id":2196,"date":"2023-03-17T10:58:10","date_gmt":"2023-03-17T05:28:10","guid":{"rendered":"https:\/\/www.yashodahealthcare.com\/blogs\/?p=2196"},"modified":"2023-11-20T16:02:40","modified_gmt":"2023-11-20T10:32:40","slug":"bypass-surgery","status":"publish","type":"post","link":"https:\/\/www.yashodahealthcare.com\/blogs\/bypass-surgery\/","title":{"rendered":"Bypass Surgery"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading Time: <\/span> <span class=\"rt-time\"> 5<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><h2>What is Bypass Surgery?<\/h2>\n<p>Bypass Surgery is also called Heart Bypass Surgery or Coronary Artery Bypass (CABG)<br \/>\nSurgery. Bypass surgery is done to treat a medical condition called Coronary Heart Disease<br \/>\n(CAD) in which arteries get blocked due to the accumulation of fat and calcium. This reduces<br \/>\nthe blood supply from the heart. To accomplish optimum blood supply, a graft conduit is<br \/>\nimplanted as an alternative path for blood supply from the heart at the site of the blockage.<br \/>\nSince the original blood supply path\/artery is bypassed, this kind of surgery is generally<br \/>\ncalled Bypass Surgery.<\/p>\n<h2>What is Coronary Heart Disease (CAD)?<\/h2>\n<p>Coronary Heart Disease is a medical complication of the heart which involves the buildup of<br \/>\nplaque in the wall of arteries supplying blood to the heart. These arteries are called coronary<br \/>\narteries. The plaque that causes blockage in coronary arteries is made up of cholesterol<br \/>\ndeposits. Over time, the buildup of plaque makes the interior of arteries narrow resulting in<br \/>\nlower or reduced blood supply. This process of narrowing is called atherosclerosis.<\/p>\n<h2>Who needs bypass surgery?<\/h2>\n<p>As mentioned above, this surgery is done to treat patients suffering from Coronary Heart<br \/>\nDisease. Patients with the following symptoms need to undergo bypass surgery:<\/p>\n<ul>\n<li>Severe Chest Pain caused by narrowing of coronary arteries. It is commonly called<br \/>\nAngina. This kind of pain occurs on the left side of the chest. You will not be able to<br \/>\ncarry out any kind of cardio exercises. It feels like someone is standing on your chest.<\/li>\n<li>Body Mass Index of 35-40: This condition also makes the patient eligible for bypass<br \/>\nsurgery.<\/li>\n<li>Type 2 diabetes: If you\u2019re a patient with type 2 diabetes, you might need to<br \/>\nundergo bypass surgery.<\/li>\n<li>Heart Attack: A completely blocked coronary artery causes a heart attack. In this case,<br \/>\nit is necessary to get a bypass surgery done.<\/li>\n<li>Emphysema: It is a medical condition in which lung size increases abnormally<br \/>\nresulting in heavy breathing.<\/li>\n<li>Kidney disease: If you\u2019re suffering from any kind of kidney disease, there are more<br \/>\nchances of developing heart disease.<\/li>\n<li>Peripheral Arterial Disease (PAD): The condition in which narrowed or blocked<br \/>\narteries reduce the blood flow to your limbs.<\/li>\n<li>Shortness of breath: If you are unable to breathe properly, it is a sign of a<br \/>\nblocked coronary artery and you may be needing a bypass surgery if this symptom is accompanied by the above-mentioned signs.<\/li>\n<\/ul>\n<h2>Stenting and Bypass Surgery<\/h2>\n<h3>What is stenting and when is bypass surgery preferred over it?<\/h3>\n<p><strong>Stenting<\/strong> is a medical procedure in which a stent (a tiny tube) is inserted into a blocked<br \/>\ncoronary artery to keep it open and to ensure proper blood flow. Stents may be metallic or<br \/>\nmade of plastic.<br \/>\nBypass surgery or CABG Surgery is preferred over stenting when a patient with CAD has all<br \/>\n<strong>three arteries blocked and he is suffering from type 2 diabetes<\/strong>. CABG surgery may also be<br \/>\nrecommended when stenting is not possible.<\/p>\n<h2>Bypass Surgery Procedure<\/h2>\n<h3>How is the bypass surgery performed?<\/h3>\n<p>The procedure of bypass or CABG Surgery involves multiple steps and takes around 5 to 6<br \/>\nhours to complete. The process may be summarized as the following:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><strong>The beginning step<\/strong><br \/>\nYour surgeon will give you <strong>general anesthesia<\/strong> and make an incision in the middle of<br \/>\nyour chest to open and spread apart the rib cage so that the heart is exposed.<br \/>\nYour surgeon may also opt for minimally invasive surgery which doesn\u2019t require the<br \/>\nabove process and only smaller incisions are made so that specialized robotic<br \/>\ninstruments are inserted into your body to perform the surgery.<\/li>\n<li><strong>Open heart or with a cardiopulmonary bypass machine<\/strong><br \/>\nYour surgeon may either opt for <strong>off-pump<\/strong> or open heart bypass surgery wherein<br \/>\nyour heart keeps beating while the operation is done<br \/>\nOr<br \/>\nHe may use a cardiopulmonary (heart-lung) machine to replace the operative arteries<br \/>\nin order to ensure proper blood supply during the procedure.<\/li>\n<li><strong>Grafting<\/strong><br \/>\nYour surgeon obtains a graft conduit from your limb, possibly and preferably your<br \/>\nthigh, using a technique called Endoscopic Vessel Harvesting (EVH). The graft thus obtained will be attached above and below the blocked part of the artery.<\/li>\n<li><strong>The final steps<\/strong><br \/>\nAfter finishing the grafting of all the blocked arteries, the surgeon will<br \/>\ndouble-check the functioning of the bypass and if everything is going well, your<br \/>\nwounds will be stitched up and bandaged and you\u2019ll then be shifted to the<br \/>\nintensive care unit (ICU) for further monitoring and care.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>Risk factors<\/h2>\n<h3>What are the risks involved in a bypass surgery?<\/h3>\n<p>Like every other surgery, bypass surgery also involves your risk of developing certain<br \/>\ncomplications after the surgery. Chronic obstructive pulmonary disease (COPD), diabetes,<br \/>\nold age, and other chronic diseases increase the chances of developing more complications<br \/>\nafter the surgery.<br \/>\nSome of the complications that may occur after the bypass surgery may include bleeding,<br \/>\narrhythmia, blood clots, chest pain, infection, kidney failure, and heart attack.<br \/>\nPost Surgery care and precautions<\/p>\n<h3>What to expect after undergoing a bypass surgery?<\/h3>\n<p>After the bypass surgery, you\u2019re shifted to an intensive care unit for monitoring of your<br \/>\nimprovement and care.<br \/>\nYou may feel pain while coughing and breathing. The site of incision may also be painful.<br \/>\nYou are likely to stay at the hospital for several days before you are allowed to leave. Our<br \/>\nmedical team at Yashoda Hospital and research center will give you proper instructions<br \/>\nbefore discharge. You may be instructed as follows:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Proper cleaning, dressing, and caring of your incision wounds.<\/li>\n<li>Avoiding any kind of heavy exercises<\/li>\n<li>Getting a lot of rest for a quick recovery<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Besides, your doctor may recommend cardiac rehabilitation such as occasional stress<br \/>\ntests and carefully monitored physical activity to see how well your heart is doing while<br \/>\nrecovering. The recovery from CABG surgery or bypass surgery takes around 6 to 12<br \/>\nweeks.<\/p>\n<h2>Treatment<\/h2>\n<h3>What kind of medication is given after a heart bypass surgery?<\/h3>\n<p>Your doctor at Yashoda Hospital and Research Center, Nehru Nagar, Ghaziabad, will give you<br \/>\nseveral medications to help manage your pain and ensure a quick recovery.<\/p>\n<p>Ibuprofen or acetaminophen or narcotic may be given in case of unmanageable pain. Some<br \/>\nantiplatelet drugs like <strong>aspirin<\/strong> may also be prescribed throughout the recovery process to<br \/>\nprevent the formation of blood clots.<\/p>\n<p>Drugs like <strong>nitrates, ACE inhibitors, and beta-blockers<\/strong> may also be prescribed to reduce<br \/>\nchest pain, prevent your body\u2019s production of angiotensin II hormone, block your body\u2019s<br \/>\nproduction of adrenaline and lower your blood pressure respectively.<\/p>\n<p><strong>Expert doctors at Yashoda hospital and Research Center, Nehru Nagar, Ghaziabad<\/strong><br \/>\nThe surgery improves blood flow to the heart by redirecting blood around the section of<br \/>\nthe blocked artery in the heart. This procedure involves taking a healthy blood vessel from<br \/>\na patient&#8217;s leg, arm, or chest and connecting it beyond the heart\u2019s blocked arteries. This<br \/>\nintricate treatment is given with perfection at Yashoda Hospital and Research Center, Nehru<br \/>\nNagar, Ghaziabad.<\/p>\n<p><strong>Dr. Amit Rai<\/strong><br \/>\nHe is a senior consultant and Cardiologist at Yashoda Hospital and Research Center, Nehru Nagar, Ghaziabad. He has a vast experience from Government Medical College, Jabalpur. Hea lso worked as Chief Senior Resident, at M.C.K.R hospital, New Delhi. He has been providing his expert services for 34 years after completing his M.B.B.S degree from Rani Durgavati Vishwavidyalaya, Jabalpur, Madhya Pradesh. He has done his fellowship in non-invasive cardiology from Navin C . Nanda National Institute of EchoCardiography and Cardiac Research, New Delhi.<\/p>\n<p><strong>Dr. Alok Sehgal<\/strong><br \/>\nHe is a chief consultant in cardiology at Yashoda Hospital. He has completed his D.M. from<br \/>\nthe reputed institute of India, CMC Vellore. He has been providing his expert services for 20<br \/>\nyears. He specializes in all kinds of diagnostic peripheral vascular diseases, cardiac<br \/>\ncatheterisation, and angiographic studies on adults and children. He also specializes in<br \/>\nballoon angioplasty (a procedure used to open blocked arteries), intracoronary stenting,<br \/>\nbifurcation stenting, pericardiocentesis (a procedure to remove fluid that built up in the sac<br \/>\naround the heart), and coil embolization, a minimally-invasive procedure to treat the<br \/>\nweakened area in the artery by filling it with material which helps in reducing bleeding.<\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p><span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading Time: <\/span> <span class=\"rt-time\"> 5<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span>What is Bypass Surgery? Bypass Surgery is also called Heart Bypass Surgery or Coronary Artery<!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":1,"featured_media":2360,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[544],"tags":[],"class_list":["post-2196","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cardiology"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v17.5 (Yoast SEO v21.2) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Yashoda Hospital - What do you understand by Bypass Surgery?<\/title>\n<meta name=\"description\" content=\"Know everything about bypass surgery, its procedure, the aftercare, its risks, and the difference between bypass and stent. 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