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Heart Bypass (CABG) Surgery in Hyderabad

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What is Bypass Surgery (CABG)?

Coronary artery disease is commonly characterized by the deposition of fatty substances in the heart walls, narrowing the coronary arteries, and restricting the blood supply to the heart. Coronary bypass grafting surgery is performed to divert blood flow away from a section of the blocked arteries in the heart. Heart bypass surgery does not cure heart disease but is rather performed to mitigate the symptoms caused by myocardial ischaemia, such as chest pain and breathlessness. Coronary artery bypass grafting surgery reduces the risk of mortality due to a heart attack.

Why is CABG performed?

Less supply of oxygen leads to dysfunction or dysregulation and organ damage; therefore, to treat these narrowed blood vessels, medication and stent therapies are employed initially, but in severe cases where there are multiple blocks in the heart, CABG surgery can serve as a better surgical option, as it involves grafting a healthy blood vessel from the leg or femoral artery to bypass the blocked arteries and restore the normal blood flow. The heart bypass surgery may be performed as an emergency treatment for a heart attack.

In contrast with other replacement and repair surgeries, coronary artery bypass grafting (CABG) is commonly used to significantly enhance the quality of life for patients with complicated cardiac disorders. This combined strategy effectively treats damage to vital heart valves (the aortic and mitral valves) and blocked arteries.

Types of Coronary Artery Bypass Grafting Surgery:

On-pump CABG surgery: For many CABG procedures, temporarily stopping the patient’s heart is required. A cardiopulmonary bypass machine, or heart-lung machine, is connected to maintain breathing and blood circulation throughout the surgery. After the procedure, the machine is detached, allowing the heart to resume beating on its own.
Off-pump CABG Surgery: Off-pump heart surgery is an alternative to on-pump procedures, where the heart is stopped and a cardiopulmonary bypass machine is used while the patient is on the ventilator, and is specifically used for heart bypass surgery or coronary artery bypass surgery.
Minimally Invasive CABG: This procedure thoroughly assesses the heart through smaller incisions rather than traditionally opening the breastbone. This approach can be performed on-pump and off-pump, depending on the patient’s needs and the surgeon’s preference, offering faster heart bypass surgery recovery times and less pain.

Who Needs Coronary Artery Bypass Grafting Surgery?

Individuals with improper blood flow due to blocked arteries in the heart.
Effective in treating individuals with a damaged heart valve.
For those with existing heart problems from birth, a condition called a congenital heart defect.
Individuals who suffer from severe heart problems, such as heart tumors, irregular heartbeats, severe heart failure, and weakening or bulging blood vessels that may eventually burst.
More damaged arteries and the left heart chamber don’t function.
A blocked heart artery that cannot be treated with coronary angioplasty, either with or without stent placement.

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CABG Procedure Details

What Happens Before the Surgery?

The surgeon will give you a detailed rundown of the surgery prior to the actual bypass surgery. After taking consent, your medical history will be reviewed. You should not eat for at least 8 hours before the surgery. The hospital may perform a pre-operative screening test.

General anaesthesia will be administered before starting the bypass surgery. After securing the intravenous access and putting in a catheter to drain the bladder, an incision is made in the leg or arm to remove a small portion of the vein to prepare a graft. Next, an incision is made on the chest to place the graft.

Steps Involved in During the CABG Surgery:

Making the Incision and Gaining Access: The surgeon makes a long incision on the chest through the center of the breastbone and splits the ribcage to access the heart.

Heart-Lung Bypass (On-Pump CABG): After reaching this phase, the surgeon may or may not use a heart-lung bypass machine (off-pump CABG or on-pump CABG) to take over the heart’s pumping function, thus allowing the heart to be temporarily stopped.

Harvesting the Graft(s): Firstly, the surgeon confirms the suitability of the veins from the chest (internal thoracic vein) or the leg (saphenous) and then removes and prepares them for the grafts.

Creating the Bypass: Subsequently, one end of the graft is attached to the coronary artery above the blockage, and the other end is attached just below the blockage and sewn to ensure proper blood flow, thus creating a new pathway for blood flow.

Restoring Heart Function: Once the latter is completed, normal functions are triggered using electrical stimulation, and the heart-lung bypass machine is turned off if attached.

Closure: The breastbone is either clamped or wired back in, and the incision is sealed with sutures.

Post-operative Phase of Coronary Artery Bypass Grafting (CABG):

Initial Recovery Phase:

Patients are required to stay in the hospital for 2-3 days right after the surgery for the initial heart bypass surgery recovery time.
The surgeon monitors the heart and blood pressure and regulates the breathing.
The appliances are removed gradually as the patient improves.
Subsequently, the breathing tubes are taken out of the patient’s mouth, and they regain the ability to breathe independently.
Once the patient can tolerate eating orally, the IV and feeding tubes are removed.
Finally, a chest tube is inserted to drain the fluid and is usually removed within a few days.

Mid Recovery Phase:

This phase usually occurs under the cardiac rehabilitation program, where the goal is to strengthen the heart muscles and enhance cardiovascular functions for 4-6 weeks after the surgery.
Light walking promotes circulation but should be done within comfort limits.
The surgeons encourage the patients to resume their physical activity gradually and increase the ones they are already performing.
Avoid heavy lifting and strenuous activities for several weeks.
Smoking and alcohol should be restricted as they interfere with the healing process.
Watch for signs of complications, such as fatigue, mood swings, loss of appetite, and difficulty sleeping.
The wound care instructions, along with compression dressing, are given by the surgeons to compensate for the swelling.

Final Recovery Phase:

Patients, after three months of recovery, experience improved stamina, reduced chest pain, improved body energy levels, and fewer mood swings.
Focus on a healthy diet that includes fruits, whole grains, vegetables, and a low-sodium diet, and limit the consumption of fatty foods.
Take the prescriptions as prescribed by the surgeons.
Attend follow-up appointments.

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Cost of the Bypass Surgery in Hyderabad, India

The heart bypass surgery cost can range significantly from approximately Rs. 1,20,000 to Rs. 4,40,000. It depends on several factors, including the specific surgical technique, the length of the hospital stay, the severity of the condition, and the surgeon’s experience. It costs approximately Rs. 3,15,000.

Description	Cost
Cost of CABG Surgery in India	Rs. 3,15,000
Cost of CABG Surgery in Hyderabad	Rs. 1,20,000- Rs. 4,40,000

Surgery details	Description
Expected hospital stay	8
Type of surgery	Major
Type of Anaesthesia	General
Number of days required to recover	6-12 weeks
Duration of the procedure	3-6 hours

Benefits of Having Heart Bypass Surgery (CABG):

Relieves persistent symptoms like breathing difficulties and chest pain.
Restores the supply of oxygen by improving blood flow to the heart.
Prevents the risk of heart attacks.
An improved course of treatment for multiple blockages following the failure of medication and angioplasty.
Enhances survival rates by improving cardiac function.
Improved quality of life.

When to Pay a Visit to Your Doctor?

It is crucial to follow up at our Yashoda Hospitals once a week for regular checkups to monitor progress and graft assessment and address any other concerns.
You may also visit your cardiologist every 2-4 weeks for ongoing monitoring and medication adjustments, if needed.
A must-visit to your primary care physician once a month to ensure any potential side effects or other health conditions are being addressed

Risks and complications of the Bypass Surgery

Because Heart Bypass is major surgery, it has some risks. Some of the most common complications associated with this surgery are bleeding, arrhythmia, renal dysfunction, stroke, infection of the chest wound and heart attack. The chances of developing any of the abovementioned risks are usually low. However, the outcome of the surgery depends on the patient’s condition before the surgery.

Insurance Assistance For CABG

Navigating insurance coverage for CABG procedures can be complex, but at Yashoda Hospitals, we strive to make the process seamless.

Coverage Clarification: Our team will assist you in understanding your insurance coverage, including any limitations or out-of-pocket expenses.
TPA Assistance: Our dedicated team will work with third-party administrators (TPAs) to streamline the insurance process and ensure a hassle-free experience for you.
Transparent Communication: You can expect clear and transparent communication regarding insurance-related matters, helping you to make informed decisions about your healthcare expenses.

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Free Second Opinion for CABG

If you’ve been advised to have a CABG surgery, get a free second opinion from our experts. Our experienced medical team will thoroughly review your case, providing valuable insights and recommendations to help you make well-informed choices about the procedure.

Choose Yashoda Hospitals and lead a healthy life under our expert care. Explore the pros and find an affordable cost today!

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Why Choose Yashoda Hospitals

At Yashoda Hospitals, Hyderabad, our expert team of cardiothoracic surgeons, physicians, and technicians ensures the most accurate and timely diagnosis and world-class treatment for patients from across the globe. With the unique combination of state-of-the-art technology, intuitive care, and clinical excellence, we are the healthcare destination for thousands of international patients in India. The department at Yashoda Hospitals in Hyderabad is recognised as one of the best hospitals for bypass surgery in India, with valve replacement, offering high success rates at a more affordable cost.

Comprehensive Care: On the journey to improve health, we understand that it is important for you to feel at home. We plan out all aspects of your trip.
Expert Doctors: Experienced specialists perform non-invasive and minimally invasive surgeries to provide the best treatment for international patients.
Cutting-Edge Technology: Our hospitals are equipped with advanced technology to perform a wide range of procedures and treatments.
Clinical Excellence: We deliver excellence by delivering quick and efficient healthcare and through pioneering research that helps all our future patients.

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Frequently Asked Questions

Heart Bypass Surgery is suggested for those who experience severe chest pain caused by narrowing blood vessels supplying the heart. As the blood supply to the heart decreases, even light exercise can increase the severity of the symptoms. Because Heart Bypass Surgery is an open surgery, it is usually performed when other methods of reopening the blockage, such as angioplasty, fail. Heart Bypass Surgery can also be an emergency procedure during a heart attack.

Like any other surgery, CABG also carries a set of risks and complications that are minor, measurable, and treatable, such as wound infections, irregular heartbeats, and, rarely, a heart attack.

When severe blockages in the coronary arteries significantly block the blood supply to the heart musculature, leading to angina and the risk of heart attacks, despite alternative medical treatments.

The optimal choice between the two depends on the patient’s overall condition, location, number of blockages, and more. While CABG is performed for multiple blocked arteries, angioplasty is performed for a single artery or less severe blockages.

It usually takes 12 weeks to recover completely from Heart Bypass Surgery. However, if you suffer from any complications during or after the surgery, the recovery may take longer than 12 weeks. Therefore, regular follow-up visits should be done to assess the recovery rate.

Yes! CABG, or heart bypass surgery, is a type of open-heart surgery in which the patient’s heart is opened and replaced with a heart-lung machine that pumps blood throughout the body. However, with the traditional approach and the development of the surgery over time, CABG can now be performed minimally invasively, involving smaller incisions and removal of the heart-lung machine.

The person’s life expectancy after undergoing Heart Bypass Surgery can be equivalent to that of an average person. However, Heart Bypass Surgery does not treat the underlying condition. Hence, the disease can come back again if preventive measures are not taken. Therefore, after undergoing Heart Bypass Surgery, treatment of heart disease should be given importance as well.

The exact duration of the surgery varies based on several factors, such as the number of blockages, the severity of the condition, the surgery type, and whether a heart-lung machine is involved. The surgery typically takes between 3 and 6 hours to complete.

You may experience brief episodes of sharp pain in the chest after undergoing Heart Bypass Surgery. In addition, the site of the incision on the chest and the area from which the vein was taken may become site and swollen. However, you will get relief from these symptoms within 4-6 weeks.

Factors such as improvement in lifestyle choices, medications, angioplasty and stenting, a minimally invasive approach, and other non-invasive therapies help delay or avoid the bypass surgery.

Yes, you can lead a normal life after undergoing Heart Bypass Surgery. The prognosis following Heart Bypass Surgery is usually good. Your condition will improve and your life expectancy can be compared to a healthy person. Moreover, you won’t experience symptoms such as chest pain and breathlessness after undergoing Heart Bypass Surgery.

The fastest way to recover from Heart Bypass Surgery is to regularly maintain a healthy lifestyle and exercise. It would be best if you walked daily within your limits, while not exerting yourself. You should take adequate rest. Since the surgery can be emotionally and physically draining, you should uplift your mood by visiting your friends and joining support groups.

It would be best to avoid all the activities or exercises that involve pulling across the chest, like rowing machines or lifting heavyweights. In addition, you should protect your incision site from sunburn. It would help if you stopped exercising immediately when you start feeling breathless or dizzy. Dyspnea after Heart Bypass Surgery is common. However, it would be best if you did not exert yourself after feeling dyspneic.

After undergoing Heart Bypass Surgery, you may feel a little sore or tired for the first week immediately after the surgery. There may be brief, sharp pain in the chest. You may experience pain in the chest, upper back, and shoulders. You may experience soreness on the incision site for a few weeks after the surgery.

It would be best to stay calm and relaxed before undergoing Heart Bypass Surgery. You should not be stressed and maintain a positive attitude before undergoing surgery. You may meditate for a few minutes or do yoga before entering the operation theatre. In addition, you may practice deep breathing exercises to calm your mind. Before undergoing Heart Bypass Surgery, you should understand everything about your disease, the surgery, and the process of recovery after the surgery.

It is advisable to sleep on the back after the surgery for at least a month. After that, you may sleep on your side. Although the best sleeping position after the surgery is to sleep upright, you may rest on the back and side.

We have one of the best teams of qualified and experienced surgeons. Get in touch with us for a FREE second consultation for Heart Bypass Surgery. Get a free cost estimate now.

Heart Bypass (CABG) Surgery in Hyderabad

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