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.
5 days for arrangement
The team of professional cardiac surgeons performs coronary artery bypass grafting (CABG) at the Cardiology Department at Gesundheit Nord Bremen Clinic. The operation is effective in treating atherosclerosis in cases when medication is not effective and coronary stenting was either unsuccessful or impossible to conduct. Operation duration is 3-5 hours, a patient stays under general anesthesia the whole time. Patients recover within 3 months, no hospital stay required.
Coronary artery bypass surgery cost at Nord Bremen Clinic is several times lower than in the USA. CABG is a low-risk operation, the success rate goes up to 94%.
Coronary artery bypass grafting is conducted in the Department of Cardiac Surgery at Centro Medico Teknon.
Doctors of the Hospital perform open and minimally invasive cardiac bypass grafting surgeries. During an open intervention, doctors conduct sternotomy (dissection of the sternum). After that, they slow down the heart and connect a patient to the artificial circulation device.
During the minimally invasive intervention, the surgeons make a small 5 cm incision. Staying in the Clinic after the surgery lasts 10-12 days.
3 days for arrangement
Kardiolita Medical Center is a specialized hospital for the treatment of cardiovascular diseases. Coronary artery bypass grafting (CABG) is performed in the Operating Unit.
1,500 heart surgeries are carried out at the Center annually.
Doctors conduct CABG for coronary diseases treatment.
Staying in the Hospital lasts for 2 days in the Intensive Care Unit and 8 days in the ward.
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;
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.
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.
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;
Coronary Artery Bypass Grafting process
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.
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.
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;
- 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.
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.
74 clinics are represented in the ranking. According to their data, the approximate Coronary artery bypass grafting cost is:
- The average cost is $20,900. The lowest price is $4,400 and the highest — $61,500.
5 days for arrangement
At Super Speciality Hospital professional cardiac surgeons perform coronary artery bypass grafting (CABG) in the Cardiology Department. This institution is considered best hospital for heart bypass surgery in India thanks to the experienced physicians and the most advanced equipment.
Doctors in the Clinic utilize multidisciplinary approach, allowing for better patient care and less complication rate during the operation. Procedure success rate in the Hospital is up to 95%. Operation lasts for 3-5 hours, a patient stays under general anesthesia. Rehabilitation time takes no longer than 3 months, hospital stay during this time is not required.
5 days for arrangement
At Global Hospital team of cardiac surgeons performs coronary artery bypass grafting (CABG) in the Cardiology Department. CABG is performed on patients with narrowed vessels if coronary stenting is not an option. Operation is low risk and highly effective, allowing patients to return to their normal lives.
Heart bypass surgery cost in Indian Hospital is 2-3 times lower than in the European countries. Medical service quality is the same and operation success rate goes up to 96%. Operation takes 3-5 hours to complete. Rehabilitation takes up to 3 months, and a patient can lead their usual life after that period.
5 days for arrangement
American Heart of Poland is a specialized Hospital that treats patients with cardiology issues. Coronary artery bypass grafting (CABG) is performed by professional cardiac surgeons in the Cardiology Department.
CABG is an alternative option for patients, who suffer from atherosclerosis and cannot undergo coronary stenting. Operation duration is 3-5 hours, a patient stays under general anesthesia the whole time. The procedure is effective at restoring blood flow to the heart and has a rehabilitation period of 3 months. Operation success rate is up to 94%.
3 days for arrangement
Coronary artery bypass grafting (CABG) is conducted at the Department of Surgery in Nordwest Hospital. Specialists of the Center prescribe a procedure for coronary heart disease treatment.
Nordwest cardiologists usually perform open heart surgery. Minimally invasive surgery is performed when the traditional operation is contraindicated because of concomitant diseases.
Staying in the Hospital after the surgery takes 10-14 days.
3 days for arrangement
Medicana Group of Hospitals is a large healthcare organization that follows world’s standards of treatment. It comprises 12 modern clinics and employs over 3,500 medical personnel. All hospitals have high-tech equipment, caring and experienced medical staff. Medicana Hospitals meet quality and service standards of the Turkish Ministry of Health and the Joint Commission International (JCI).
2 days for arrangement
Assuta Hospital is the largest clinic of private ownership in Israel. It develops a lot of medical directions and is highly specialized in surgery, IVF, cardiology (the use of VenaSeal, Cryo and MICRA and other innovative techniques) and oncology. The main distinguishing feature of this medical institution is a high level of attentiveness to the patient’s needs. The option of a surgical operation, an attending physician and a type of the room is not the complete list of things left up to the choice of the patient.
5 days for arrangement
Medicover Clinic is a multidisciplinary hospital in Warsaw. It belongs to the network of 157 medical centers in 14 countries of the world. Medicover is the largest private clinic in Eastern Europe.
Doctors of the Medicover Hospital specialize in cardiosurgery, neurosurgery, oncology, orthopedics, gynecology, and plastic surgery.
Over 500,000 patients undergo treatment at Medicover annually.
Medicover Hospital offers comprehensive medical services to patients. It has ISO 9001:2008 certification and Ministry of Health accreditation. Medicover has 7 specializes department and 7 diagnostic centers. The medical institution is opened 24/7 hours.
Samsung Medical Center is a prominent multidisciplinary hospital in South Korea that has repetitively received many awards in customer satisfaction and services quality. It has a special status of “Hospital of presidential standards”. A part of Samsung Medical Complex, Comprehensive Cancer Center provides the most thorough treatment for cancer patients using state-of-the-art equipment: Novalis, IGRT (image-guided radiation therapy), Da Vinci surgical system, etc.
Ospedale San Raffaele is a University Hospital of world importance which conducts a clinical researches and applies specialized methods for treatment of serious diseases in the field of oncology, oncohematology and surgery. Ospedale Hospital is recognized by the Ministry of Health as an Institute of Hospitality and Care specialized in Molecular Medicine.The main feature of the Clinic is a practical use of molecular biology for treatment metabolic, immune, infectious, genetic pathologies, illnesses of central and peripheral nervous system.
5 days for arrangement
Artemis Hospital is an award-winning medical institution of world class service at Gurgaon, India. The Hospital has 11 Centers of Excellence and numerous certifications including Accreditation by National Board for Hospitals & Healthcare and Joint Commission International ensuring the compliance with the best treating practises and guidelines. Team of 350+ doctors of 40 specialties treat patients from all over the world.
The European Health Center Otwock (Europejskie Centrum Zdrowia Otwock) is Poland's first private hospital that specializes in oncology and cardiology. The Сlinic has the only one in the country Interdisciplinary Cardio-oncology Department for cancer treatment in patients with heart disease. The Otwock Health Center is located 25 km from the center of Warsaw.
Quiron Barcelona Hospital is one of the leading clinics in Spain, strong suit of which is The Baselga Institute of Oncology. It makes progressive cancer researches in cooperation with American oncological centers. The clinic involves the latest equipment and the most experienced doctors in Spain. Diagnostic and therapeutic manipulations here combine maximum accuracy and efficiency and the personnel are ready to satisfy needs even of the most demanding patients.
Medical Centre Hospital of President’s Affairs Administration is a multidisciplinary hospital in Astana, the Republic of Kazakhstan.
The main specialties are surgery, check-ups, and rehabilitation.
The Hospital is accredited by Joint Commission International (JCI) for the high quality of treatment, coordination, and sanitary.
The equipment of the Medical Center is at the same level as in world leading clinics — hybrid operating room, a diagnostic unit with MRI, CT, and PET-CT.
The employees of embassies and consular agencies are treated at the President’s Medical Center.
Hadassah Hospital is one of the best and the most famous medical institutions in Israel. Hospital was founded in 1934 by Hadassah, the Women’s Zionist Organization in the USA. Hadassah Hospital consists of 2 university clinics:
One of the best medical institutions in the world is The Sarah Wetsman Davidson Hospital Tower. It is a part of the Ein Kerem Hadassah Hospital.
Asklepios St. Georg Hospital is a multidisciplinary medical center in Hamburg. The Hospital works on the premisses of Asklepios Kliniken Medical Group.
The Hospital specializes in the treatment of the heart, vessels, and spine diseases.
St. Georg Hospital is among the TOP German medical facilities according to the Focus magazine.
87,000 patients receive the treatment annually here.
Memorial Atasehir Hospital is a private multidisciplinary hospital in Istanbul which belongs to the large Memorial Healthcare Group. The Memorial Atasehir specialties are organ transplant (with 99.5% success rate for liver and 99% for kidney), in vitro fertilization (65% success rate), oncology, cardio- and neurosurgery.
The hospital has Joint Commission International (JCI) certificate for the compliance with international treatment standards, quality, and safety. JCI is a global organization that controls the quality of medical services worldwide.
Dobrobut Clinic for Cardiac Surgery is located in Kyiv, Ukraine. It belongs to the Ukrainian medical network Dobrobut. Over 1,000,000 patients entrust their health to the specialists of this network annually. Cardiac Surgery Center was opened in 2016. The leading Ukrainian cardiac surgeon Aleksander Babliak heads this Center. The doctor performed the first minimally invasive multivascular coronary bypass surgery in the world in July, 2017.