Heart attack bypass surgery, also known as coronary artery bypass grafting (CABG), is a surgical procedure used to improve blood flow to the heart. It is done by grafting a healthy blood vessel from another part of the body, such as the chest or leg, to bypass a blocked or narrowed coronary artery.
CABG is a major surgery, but it can be life-saving for people with severe coronary artery disease. The surgery can improve symptoms such as chest pain, shortness of breath, and fatigue. It can also reduce the risk of a heart attack or sudden cardiac death.
What is coronary artery disease?
Coronary artery disease is a condition in which the arteries that supply blood to the heart become narrowed or blocked. This can happen when plaque, a fatty substance, builds up inside the arteries.
Plaque buildup can start in early adulthood, and it is often caused by a combination of factors, including:
- High blood pressure
- High cholesterol
- Smoking
- Diabetes
- Family history
As plaque builds up, it can narrow the arteries and reduce the flow of blood to the heart. This can lead to chest pain, shortness of breath, and other symptoms. In some cases, a complete blockage of an artery can cause a heart attack.
How is CABG performed?
CABG is typically performed under general anesthesia. The surgeon makes a long incision in the chest and then opens the chest cavity. The surgeon then uses a heart-lung bypass machine to keep the blood flowing through the body while the heart is stopped.
The surgeon then takes a healthy blood vessel from another part of the body, such as the chest or leg, and uses it to bypass the blocked or narrowed coronary artery. The graft is then sewn in place.
Once the grafts are in place, the surgeon closes the chest cavity. The patient will then be taken to the intensive care unit (ICU) for monitoring and care.
What are the risks of CABG?
As with any surgery, there are risks associated with CABG. These risks include:
- Bleeding
- Infection
- Heart rhythm problems
- Stroke
- Death
The risks of CABG are higher for older people and people with other health problems.
What is the recovery process like after CABG?
The recovery process after CABG can take several weeks. Patients will typically stay in the hospital for 3-5 days after surgery. During this time, they will receive pain medication and other treatments to help them recover.
After being discharged from the hospital, patients will need to continue to see their doctor for follow-up care. They will also need to make lifestyle changes, such as quitting smoking, eating a healthy diet, and exercising regularly.
What is the long-term outlook for people who have had CABG?
The long-term outlook for people who have had CABG is generally good. Most people who have the surgery are able to return to their normal activities. However, it is important to continue to see your doctor for follow-up care and to make lifestyle changes to reduce your risk of another heart attack.
If you have coronary artery disease, talk to your doctor about whether CABG is right for you. CABG can be a life-saving surgery, but it is important to weigh the risks and benefits before making a decision.
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