Coronary Artery Bypass Grafting Surgery
Coronary Artery Bypass Grafting (CABG) surgery commonly referred to as "bypass surgery," is a surgical
procedure used to treat coronary artery disease (CAD) or severe coronary artery
blockages. CAD occurs when the blood vessels (coronary arteries) that supply
oxygen and nutrients to the heart muscle become narrowed or blocked due to the
buildup of fatty deposits (atherosclerosis). CABG surgery aims to improve blood
flow to the heart muscle by bypassing these blockages.
Here's how the procedure works:
Anesthesia: CABG surgery is typically performed
under general anesthesia, which means the patient is asleep and pain-free
during the procedure.
Incision: The surgeon makes an incision in the
chest, usually down the middle of the sternum (breastbone), to access the
heart.
Harvesting Veins: In most cases, a healthy blood
vessel, often taken from the leg (saphenous vein) or the chest wall (internal
mammary artery), is harvested. This vessel will be used as a graft to bypass
the blocked coronary artery.
Bypass Grafting: The harvested blood vessel is then
surgically attached (grafted) to the coronary artery above and below the
blocked or narrowed segment. This creates a new pathway for blood to flow,
bypassing the blocked section.
Restarting the Heart: If necessary, the heart may be
temporarily stopped while the grafts are being connected. During this time, a heart-lung
machine is used to maintain oxygen-rich blood circulation throughout the body.
Completion: Once all necessary grafts are in
place, and the surgeon is satisfied with the new blood flow, the heart is
restarted, and the patient is gradually weaned off the heart-lung machine.
Closure: After ensuring proper heart
function, the chest is closed with sutures or staples, and the incision is
bandaged.
CABG surgery
is performed to relieve angina (chest pain) and improve the blood supply to the
heart muscle, reducing the risk of heart attacks. It can also be a life-saving
procedure for individuals with severe coronary artery blockages.
Recovery
from CABG surgery can take several weeks, and patients are typically advised to
make significant lifestyle changes, such as adopting a heart-healthy diet,
engaging in regular exercise, and quitting smoking, to reduce the risk of
future heart problems.
The decision
to undergo CABG surgery is typically based on a thorough evaluation by a
cardiologist or cardiac surgeon, taking into consideration the patient's
overall health, the extent of coronary artery disease, and the severity of
symptoms.
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