Best Coronary artery bypass grafting clinics

71 clinics

Below are listed the world's best clinics for Coronary Bypass Grafting. The rating is composed based on patient's reviews and expert opinion of Bookimed Medical Doctors.

Coronary Artery Bypass Grafting (CABG) is a surgical operation that allows to restore a blood flow in the coronary arteries which have been narrowed due to atherosclerosis, arteriosclerosis, or ischaemic heart disease. The procedure eliminates the main reason of angina attacks and supports a comprehensive blood supply of the heart despite the blocked vessels.

Operation success rate for CABG is around 92%, and survival rates go up to 96%. In some cases the procedure is combined with coronary stenting. Generally, the operation presents a good alternative for patients when medications become ineffective. After the procedure, a patient can return to their normal lifestyle after 3 months of rehabilitation.

Poland, Ustron
American Heart of Poland Hospitals
3.0
Review score
1 review
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Israel, Tel Aviv
Sourasky Medical Center
Visa assistance
Transfer
Translator
4.4
Good
89 reviews
Info
Thailand, Bangkok
Bumrungrad International Hospital
4.4
Good
38 reviews
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Turkey, Istanbul
Anadolu Medical Center
Transfer
Visa assistance
Translator
4.5
Excellent
133 reviews
Info
Video review
Spain, Barcelona
Centro Médico Teknon
Transfer
Visa assistance
Translator
4.6
Excellent
96 reviews
Info

Indications and contraindications for CABG

There are following indications for CABG:

  • over 50% obstruction of the left coronary artery;
  • 70% narrowing of cardiac vessels;
  • stenosis of the anterior interventricular branch;
  • disabling angina;
  • ongoing ischemia that is unresponsive to medical therapy.

Before performing the operation, physicians examine patient’s medical history. Some factors may lead to complications during the intervention or rehabilitation period. There are following contraindications for CABG:

  • recent myocardial infarction;
  • recent cardiac surgery;
  • chest radiation exposure;
  • conditions that predispose to bleeding (poor coagulation);
  • renal dysfunction;
  • infections (including STDs and dental abscesses);
  • chronic non-specific pulmonary pathologies;
  • oncology.

Types of Coronary Artery Bypass Grafting

Coronary artery bypass grafting is divided into:

  • On-Pump CABG. This operation presumes using heart-lung bypass machine to allow surgeons operating on the still heart. During surgery, the chest bone is opened and the heart stopped with medicines. When the operation is complete, the heart usually starts beating by itself. Otherwise, a small electrical shock is used to start it up.
  • Off-Pump CABG on the beating heart. In some cases, off-pump operation on the beating heart is more viable, as it allows to avoid certain complications. An off-pump procedure is recommended for patients with advanced stages of atherosclerosis of the aorta, kidney malfunction, or pulmonary diseases. Off-pump CABG reduces risks of postoperative inflammation, infection, and arrhythmia.
  • Minimally invasive direct CABG. This procedure is similar to off-pump surgery. The difference is surgeons make few small incisions between the ribs instead of cutting the chest bone.

Coronary Artery Bypass Graft (CABG)

In some cases several bypasses are required. Find out how much does a triple heart bypass cost by submitting a request on Bookimed site. Our Doctor Coordinator will contact you shortly to provide a consultation.

The coronary artery bypass surgery cost is calculated for patients individually in each particular case.

Coronary artery bypass graft procedure can be performed in 3 ways. The choice of particular type of graft depends on the location of the blocked area, size of the damaged area and diameter of the artery.

“Grafts” are vein and artery that act as an anastomosis, creating a bypass on obstructed cardiac vessels and restoring normal blood flow. The vein is usually taken from the leg of a patient, while the artery is relocated from the chest wall. During the operation, a surgeon sews up the original vessel of the patient to the coronary artery near the area of narrowing. That allows the blood flow to “bypass” the blocked area.

Grafting process

Grafting process

Internal thoracic artery is commonly used graft as it has the best long-term results: veins are less likely to become blocked over time. A surgeon takes the artery from its area and sews its ends in the coronary artery bypassing obstructed segment.

Radial artery is located in the hand together with the ulnar artery. Considering that the ulnar artery is a dominant blood supplier of the hand, removal of the radial artery during the operation does not pose a threat to the organism.

Great saphenous vein is often used as a graft. It is a long vessel running along the inner side of the leg. To take the vein a surgeon makes an incision or several small incisions along its location.

Preparation for CABG

A patient is hospitalized 3-5 days prior to the surgery. They undergo necessary examinations and prepare for the operation in the inpatient department. Following tests and examinations are conducted before the surgery:

  • coronary angiography;
  • chest radiography;
  • liver function test;
  • clotting screen;
  • ECG.

Coronary Artery Bypass Grafting process

Premedication

Before the operation, a patient is administered a general anesthesia. Other medications are also introduced to patient’s body to reduce heart demand for oxygen by lowering arterial pressure and reducing heart rate. Myocardial blood flow is improved by the use of vasodilators.

In case of off-pump CABG, medications that temporary stop the heart will be administered after the incision in the chest bone.

Each patient is cross-matched with at least 2 units of blood to compensate for blood loss during or after the operation.

Operation process

The surgery lasts from 3 to 5 hours. The duration depends on the amount of bypassed arteries and health particularities of a patient. During the surgery, a heart-lung bypass device carries out functions of the heart and lungs. It is vital if physicians opted to operate on the non-beating heart. When finishing CABG, a doctor installs drain tubes in the chest to drain liquid from the operated area. Then the wound is stitched and a patient is delivered to the intensive care unit where they stay until complete stabilization.

Rehabilitation

Recovery in hospital

A patient stays in intensive care unit for 1-3 days after the operation. This period may take longer if complications take place, hospitalization duration influences how much does a heart bypass cost. Patient’s vitals will be constantly monitored. Various medicines that control blood circulation and pressure will be delivered through IV. Special catheter is inserted to drain urine. In some cases, oxygen therapy (oxygen delivered through a mask or nasal tubes) and/or temporary pacemaker is utilized. A physician may provide a patient with compression stockings. They apply gentle pressure on the legs preventing blood from pooling and clotting.

During the first days after the operation a patient must strictly follow these recommendations:

  • control the amount of consumed and excreted water; make notes for the attending doctor;
  • make respiratory exercises to stabilize breath and prevent pneumonia development. Respiratory gymnastics includes air toys, massage of the area above the lungs with tapping manipulations;
  • at the early stage of rehabilitation it is extremely important to cough up because some patients can aggravate the situation by coughing;
  • chest corset should be worn for the quickest healing of the wound.

Recovery at home

Before a patient is dismissed, a doctor gives them specific instructions and guidelines for recovery, including:

  • how to care for healing operative incisions;
  • how to recognize progressing complications;
  • when to make follow-up appointments.

A patient also receives information on how to deal with various side effects that may appear after the surgery. They include:

  • itching of incisions;
  • discomfort or muscle pains in the shoulders and upper back;
  • depression, mood swings, fatigue;
  • constipation;
  • insomnia;
  • loss of appetite.

Complete recovery usually takes up to 3 months. A physician will provide more information about recovery status, but usual physical activities can be re-engaged after approximately 6 weeks of rehabilitation.

Outlook

A patient can return to the sedentary work within 1.5 months after discharge from the hospital. Heavier physical work can require a longer period of recovery. Patients after CABG may lead their usual lifestyle. Walking and stair climbing are particularly useful during the rehabilitation period. Patients should avoid longtime walks during very cold or too hot weather which exhausts the organism.

Bad habits should be quitted: smoking and/or drinking can provoke a heart attack. A patient should constantly monitor their blood pressure. Diet must be revised: consumption of salt, fats, and cholesterol-rich products should be minimized. Weight control is desired.

Heart bypass surgery cost

Coronary artery bypass surgery cost depends on the following factors:

  • Type of performed CABG operation. Different types of procedure put different requirements on operating team and may prolong the duration of the operation thus influencing heart bypass cost.
  • A number of required bypasses. Some patients need two or three bypasses conducted in a single operation. Cost of triple heart bypass operation is higher than the regular single-bypass operation.
  • Patient condition. Coronary artery bypass graft cost is greatly influenced by patient’s health state during the operation. Additional medicines and devices might be used to ensure the operation success. A patient may be required to spend more time in intensive care unit.
  • Location. The average cost of heart bypass surgery varies in different countries. For example, in India or Turkey heart bypass surgery cost is 2-3 times lower than in the USA or Israel.

How to receive CABG abroad?

To undergo CABG operation abroad, submit a request on Bookimed site. On the shortest notice, our Medical Coordinator will contact you via phone call. You will be able to ask any questions regarding the procedure, including how much does heart bypass surgery cost in your particular case. Bookimed will process your paperwork and organize your treatment abroad, including transfer to and from a hospital.

How much does coronary artery bypass grafting cost ?

Doctors calculate the cost of the coronary artery bypass grafting individually for each patient. The price may depend on the hospital's reputation and doctor's experience. You may get the final coronary artery bypass grafting cost only after the consultation with a doctor.

71 clinics are represented in the ranking. According to their data, the approximate coronary artery bypass grafting cost is:

  • The average cost is $22600. The lowest price is $4400 and the highest — $61500.
Reviews
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L
Sep 11, 2018
The patient underwent coronary artery bypass grafting

Thank the doctors, for my mother. Great team. The best equipment in Kazakhstan. Pya Yuri Vladimirovich has great respect, the best cardiologist in the country.

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Lithuania, Vilnius
Kardiolita Private Hospital
Transfer
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4.4
Good
37 reviews
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Germany, Frankfurt am Main
Nordwest Clinic (Krankenhaus)
Transfer
Visa assistance
Translator
4.4
Good
34 reviews
Info
Poland, Otwock
European Health Center Otwock
4.3
Good
4 reviews
Info
Turkey, Istanbul
Memorial Şişli Hospital
Translator
Transfer
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4.5
Excellent
34 reviews
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India, Delhi
Apollo Hospital Indraprastha
3.5
Review score
7 reviews
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Germany, Solingen
Medical Center in Solingen
Transfer
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Translator
4.5
Excellent
55 reviews
Info
Republic of Korea, Seoul
Kyung Hee University Hospital at Gangdong (KUIMS)
Transfer
Translator
4.4
Good
24 reviews
Info
Republic of Korea, Seoul
Ewha Womans University Medical Center
Transfer
Translator
5.0
Excellent
1 review
Info
Turkey, Istanbul
Memorial Bahçelievler Hospital
Translator
Transfer
Visa assistance
4.8
Excellent
16 reviews
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Germany, Bremen
Bremen-Mitte Clinic
Transfer
Visa assistance
Translator
4.2
Good
22 reviews
Info
Greece, Thessaloniki
Interbalkan European Medical Center
4.0
Good
1 review
Info
Italy, Milan
San Raffaele Hospital
Transfer
Visa assistance
Translator
4.3
Good
16 reviews
Info
Turkey, Istanbul
Medicana Hospitals Group
Transfer
Visa assistance
Translator
4.6
Excellent
27 reviews
Info
Czech Republic, Prague
Motol University Hospital
4.1
Good
14 reviews
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Anonymous Jun 13, 2019
The patient was consulted in this clinic

Normal clinic, did not see anything special. They prescribed good medicines, I felt better. There were also very good translators. It is better to always be insured, because if there is insurance, the clinic offers a 50% discount.

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Nadeghda Jun 11, 2019
The patient was treated of ovarian cancer

The format is quite simple, everything is accessible and understandable, the doctor is very qualified. I will not say that we talked about clinical studies, there was no definitive information. We are happy, time has been spent, the translator also translated everything correctly. The doctor explained everything popularly, we received an answer to all the questions we asked. I believe that what you are doing is very important and useful for people who need help.

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Anonymous Jun 11, 2019
The patient underwent rhinoplasty

Passed online consultation. After the consultation, a treatment plan was created, which we will undergo, further consultations will continue. Online consultation is very convenient and of course there were some doubts, especially when the invoice was billed, because it was a bit confusing, there was only one seal, so I advise you to make the documents more official, so that you would not be so scared to pay for the consultation.

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Tatyana Jun 11, 2019
The patient was treated of varicocele

Moe stay at the clinic duly honored. Vsi vaccinate respect. Doctors at Vishma luvni rozumni vidovidalni. The chamber is ideal, it is good and strong. Meni was honored and helped in my problem. Okay happy. Antonina., And Barbara that they took care of me. Thank you very much.

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HALYNA Jun 10, 2019
The patient was treated of melanoma

The doctor caused confidence and showed high professionalism, understood all the details and documents. She appointed the newest treatment. Satisfied with the service, Katerina Bonko was constantly in touch, showed attention and care. Thanks her.

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