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Coronary Artery Bypass Graft Surgery in Hyderabad, India

Coronary Artery Bypass Grafting (CABG)

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    What is CABG surgery?

    Coronary Artery Bypass Grafting (CABG) is a surgical procedure designed to restore normal blood flow to the heart by bypassing blocked or narrowed coronary arteries. At TX Hospital, a renowned cardiology hospital in Hyderabad, we offer expert care for patients with coronary artery disease (CAD) who haven’t responded well to other treatments like medications or stents.

    Coronary Artery Bypass Grafting

    Conditions Treated by CABG Surgery

    CABG is primarily used to treat individuals with advanced CAD. Those who may benefit from this surgery often have one or more of the following:

    • When multiple coronary arteries are significantly narrowed, limiting blood flow to the heart muscle.
    • Unsuccessful Angioplasty or Stent Procedures: When less-invasive interventions, such as stenting or angioplasty, have either not provided relief or are deemed unsuitable.
    • When there’s a substantial narrowing in the primary artery that supplies blood to the heart’s left side.
    • Intense Symptoms of Angina: Persistent chest discomfort or pain that does not respond to medications or alternative treatments
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    Types of Coronary Artery Bypass Grafting Procedures

    At TX Hospital, a Top Cardiothoracic hospital in Hyderabad, we offer various CABG options to suit different patient needs:

    • On-Pump (Traditional CABG Surgery)
      This is the standard procedure where the heart is temporarily stopped to allow surgeons to work on a still heart. CARDIO PULMONARY bypass machine takes over the heart’s function, allowing oxygen-rich blood to circulate through the body during surgery.
    • Off-Pump (Beating CABG Surgery)
      In this technique, the surgeon operates on the heart while it is still beating, stabilizing only the specific area needing the bypass. This method is beneficial for patients who might be at higher risk with traditional on-pump surgery.
    • Minimally Invasive Direct Coronary Artery Bypass – MIDCAB
      This type involves smaller incisions and does not require opening the chest fully. Surgeons access the heart through small cuts between the ribs, making recovery faster and less painful.
    • Robot-Assisted This approach uses robotic technology, allowing surgeons to perform the procedure with great precision through smaller incisions. The surgeon controls robotic arms from a console, and in some cases, may avoid opening the chest entirely.
    • Hybrid CABG Procedures
      this Procedure combines traditional CABG surgery with other treatments, like angioplasty or stenting. This approach may be suitable for patients with complex coronary disease.

    What to Expect Before, During, and After CABG Surgery

    Before Surgery: Preparing for CABG
    Patients must undergo various steps to ensure they are ready for surgery:

    • Medical Evaluation Our experienced cardiologists will review your medical history, conduct a physical exam, and order tests such as an electrocardiogram (EKG), Carotid doppler,echocardiogram, and cardiac catheterization.
    • Lifestyle Changes: Smokers will be encouraged to quit smoking, as it can hinder recovery. Patients are also advised to eat a balanced diet and practice stress-relief techniques like meditation.
    • Medication Review: Some medications, especially blood thinners, may need to be paused, and our healthcare team will provide clear instructions on any changes to your current medication regimen. 
    • Other factors :  history of heart disease, including any previous surgeries, treatments, or medications, The presence of other medical conditions or diseases, A family history of coronary artery disease (CAD), heart attacks, or other heart-related conditions.

    During Surgery: The CABG Procedure

    • Anesthesia and Life Support: The procedure begins with administering general anesthesia. For most procedures, a breathing tube, IV lines, urinary catheter, and sometimes a heart-lung bypass machine are used.
    • Collecting the Graft: A blood vessel, usually from the leg, arm, or chest, is taken to form the bypass graft.
    • Surgery Process: The surgeon will create a bypass by attaching one end of the harvested blood vessel to the aorta and the other end to the coronary artery paste the blockage. This reroutes blood flow, bypassing the obstructed area.
    • Closing Incisions: Once completed, the surgeon closes the chest using wires, sutures, and a sterile dressing.

     After Surgery: Recovery and Rehabilitation

    • Immediate Post-Op Care: After surgery, patients are transferred to the ICU, where specialized staff monitor your vital signs and recovery.
    • Hospital Stay: The typical stay ranges from 8 to 12 days, depending on individual progress and the type of surgery.
    • Cardiac Rehabilitation: After discharge, a structured rehabilitation program will help you regain strength and improve heart health, under the guidance of our cardiologists.

    Benefits of CABG Surgery

    • Improved Blood Flow and Oxygen Supply: By bypassing the blocked arteries, CABG restores blood flow, reducing symptoms like chest pain (angina) and the risk of heart attack.
    • Long-Term Relief and Survival Benefits: CABG is often more effective than other interventions like stenting in patients with multiple blocked arteries, leading to improved long-term survival rates.
    • Enhanced Quality of Life: Many patients experience a significant improvement in energy, stamina, and overall well-being after surgery.
    • Fewer Repeat Procedures Needed: Compared to stenting, CABG has a lower rate of requiring follow-up procedures.
    • Support for High-Risk Patients: Off-pump and minimally invasive methods provide alternatives for high-risk patients, reducing potential complications and allowing faster recovery.

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      Lifestyle modifications and Recovery recommendations for patients after undergoing CABG (Coronary Artery Bypass Graft) surgery:

      1. Post-Surgery Recovery and Home Care

      • Physical Rest and Activity:
      1. It’s normal to experience fatigue, and recovery may take several weeks.
      2. Begin with light activities and increase them gradually as strength improves.
      3. Walking is encouraged, but avoid driving, swimming, and strenuous activities until cleared by the doctor.
      • Incision Care:
      1. Avoid baths.
      2. Use warm water and gentle soap, pat the incision dry, and avoid lotions or powders on the area.
      3. Be alert for signs of infection, such as redness, swelling, discharge, or pain, and contact the surgeon if any of these symptoms develop.
      • Daily Weighing and Temperature Monitoring:
      1. Weigh daily; sudden weight gain can indicate fluid retention, which should be reported to the cardiologist.
      2. Monitor body temperature and report any persistent fever above 101°F to the doctor.
      • Diet and Nutrition:
      1. Appetite changes are common, so eat small, balanced meals to ensure proper nourishment.
      2. Avoid excessive fats, sodium, and sugar; stay hydrated and use natural methods to manage constipation.
      • Medication Management:
      1. Take all prescribed medications as directed without altering doses unless advised by a healthcare provider.
      2. Pain management typically involves mild pain relievers.
      • Emotional and Mental Health:
      1. Mood swings, fatigue, and depression are common post-surgery.
      2. Discuss feelings openly with loved ones, establish a daily routine, and aim for 6-8 hours of sleep per night.
      1. Healthy Lifestyle Changes
      • Diet:
      1. Focus on a heart-healthy diet to help lower the risk of heart disease.
      2. Include more fiber-rich foods, omega-3 fatty acids, and fresh fruits and vegetables.
      3. Avoid foods high in saturated fat and salt, such as fatty meats, butter, cream, and processed foods.
      4. Limit salt intake by checking nutrition labels and avoiding added salt.
      • Exercise:
      1. Once fully recovered, engage in at least 150 minutes of moderate-intensity aerobic activity per week (e.g., walking, cycling).
      2. Start with manageable amounts and gradually increase duration and intensity.
      3. Follow guidelines for physical activity and consult the doctor before beginning any new exercise routine.
      • Weight Management:
      1. Maintain a healthy weight by following a balanced diet and staying physically active regularly.
      2. Consider structured weight-loss plans or consult healthcare providers for support if needed.
      • Smoking Cessation: Quit smoking to significantly reduce the risk of heart issues.
      • Limit Alcohol: Avoid drinking alcohol
      1. Cardiac Rehabilitation and Long-term Care
      • Cardiac Rehab Program:
      1. Join a supervised cardiac rehabilitation program that offers exercise training, lifestyle guidance, and emotional support.
      • Follow-up Care:
      1. Attend follow-up appointments for periodic checkups, which may include EKGs, stress tests, and echocardiograms to monitor heart health.

      When to Call the Doctor

      Reach out to our doctor right away if you notice any of the following:

      • Signs of Infection: Redness, swelling, warmth, oozing, or persistent fever above 101°F (38.3°C).
      • Heart or Breathing Symptoms: Worsening shortness of breath, irregular heartbeats (palpitations), new chest pain, or sudden leg swelling.
      • Rapid weight gain : Rapid weight gain may indicate fluid retention 
      • Bleeding or Drainage Issues: Increased drainage, uncontrolled bleeding, or blood in urine/stool.
      • Neurological Symptoms: Fainting, severe headache, dizziness, or unusual confusion.
      • Persistent Pain: Pain that doesn’t improve with medication or worsens around the incision or chest.
      • Digestive or Urinary Symptoms: Unresolved nausea, vomiting, diarrhea, or painful urination.

      Why Choose TX Hospital for CABG and Advanced Cardiac Procedures?

      TX Hospital stands as a premier destination for Coronary Artery Bypass Grafting (CABG) and other advanced cardiac procedures. Backed by the expertise of the best cardiologists in Hyderabad, we deliver exceptional care tailored to your heart health needs.

      Key Highlights:

      Specialized CABG Expertise: Our cardiac surgeons are skilled in performing minimally invasive and traditional CABG with high success rates.

      Comprehensive Cardiac Care: From angioplasty and valve replacement to pacemaker implantation, we provide a full spectrum of advanced heart procedures.

      State-of-the-Art Facilities: Equipped with cutting-edge technology, our modern cath labs and surgical suites ensure safety and precision.

      Personalized Care: Each patient receives a customized treatment plan and holistic support, from diagnosis to recovery. 

      Call to action

      Don’t ignore symptoms like persistent dizziness, chest pain, or swelling. Reach out to TX Cardiac care team immediately.

      FAQ

      Coronary Artery Bypass Grafting is a surgical procedure that reroutes blood around blocked coronary arteries to improve blood flow to the heart.

      It treats severe coronary artery blockages, failed stent procedures, left main artery disease, and persistent angina.

      The types include On-Pump, Off-Pump, Minimally Invasive, Robot-Assisted, and Hybrid.

      Prepare with a medical evaluation, lifestyle changes like quitting smoking, and adjustments to your medications.

      You’ll receive anesthesia, the surgeon will bypass blocked arteries using a harvested blood vessel, and your chest will be closed afterward.

      Recovery includes a 6-8 days hospital stay, cardiac rehabilitation, and gradual increase in activity.

      It improves blood flow, relieves symptoms like angina, increases survival rates, and enhances quality of life.

      Follow a heart-healthy diet, exercise regularly, maintain a healthy weight, quit smoking, and limit alcohol.

      Pain is managed with prescribed medications, typically mild pain relievers, as advised by your doctor.