Contact us
Leave your number
and Doctor-Coordinator contacts you
Call me back

Coronary artery bypass grafting

We`ve found 6 specialized clinics on your request

What is Coronary Artery Bypass Grafting?

Coronary Artery Bypass Grafting (CABG) is a surgical method to recover a blood flow in the coronary arteries which have been narrowed due to some cardiac disease, for example, ischaemic heart disease (IHD). “Grafts” act as anastomoses which create a bypass on cardiac vessels and increase a blood flow.

The Coronary Artery Bypass Grafting aims to stimulate a blood flow in the cardiac muscle. The procedure eliminates the main reason of angina and supports a comprehensive blood supply of the heart despite the blocked vessel.

During the operation a surgeon sews up the original vessel of the patient to the coronary artery near the area of narrowing. Thus the surgeon allows the blood flow to “bypass” the blocked area of artery. After installations of the grafts the amount of the blood supplied to the heart increases and angina attacks disappear.

Indications for CABG

Prognostic conditions of the patient for performing the CABG:

  • over 50% obstruction of the left coronary artery;
  • 70% narrowing of cardiac vessels;
  • stenosis of the anterior interventricular branch.

Cardiologists distinguish 3 groups of indications for the CABG:

  1. The first group consists of the patients with angina, IHD, which do not show improvement after receipt of medication and the patients with the ischemic pulmonary oedema;
  2. The second group includes the patients with severe angina whose long-term prognosis will be greatly improved by the surgery which will prevent myocardial ischemia; the patients with over 50% stenosis of the left coronary artery;
  3. The third group represents the cases when the patient need the CABG as additional support before the planned heart surgery.

Types of Coronary Artery Bypass Grafting

According to its functionality the coronary artery bypass grafting can be divided into:

  • On-Pump CABG with cardioplegia;
  • Off-Pump CABG on a beating heart.

There are several types of vascular grafts (bypasses). Application of the particular type of graft depends on location of the blocked area in the coronary artery, volume of the damaged area and diameter of the artery:

Internal thoracic artery is the most oftenly used graft because it has the best long-period results. As a rule, a surgeon takes the unchanged artery from its area and sews its end in the coronary artery bypassing the damaged segment. If the thoracic artery is taken from the organism in full it becomes a so called “free graft”.

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, intake of the radial artery during operation does not pose a threat for the organism. Prior to the procedure a doctor makes tests to determine if the radial artery can be used.

Great saphenous vein is often used as a graft. To take the vein a surgeon makes an incision or several small incisions along its location. The technique to be used for the vein intake is determined by the attending doctor in each case individually.

Procedure of Coronary Artery Bypass Grafting

What is necessary to know about the preparation to and the procedure of the CABG surgery?

Usually the patient is hospitalized 3-5 days prior to the surgery. In the inpatient department (s)he undergoes the necessary examinations and prepares to the surgery - (s)he acquires methods of regular breathing and coughing up which can be useful during rehabilitation.

The coronary artery bypass grafting surgery lasts 3 to 6 hours. The duration depends on the amount of bypassed arteries and health particularities of the patient.

During the surgery, a special device “heart-lungs” carries out functions of heart and lungs. Thus a surgeon can make a bypass grafting of all necessary arteries. When finishing the CABG a doctor installs drain tubes in the chest to remove the liquid from the operated area. Then the wound is stitched and the patient is delivered to the intensive care unit where he stays until the complete stabilization of his/her condition.

Rehabilitation and recommendations for patient

During the first days after the coronary artery bypass grafting the patient must strictly follow these recommendations:

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

Performance


The patient can return to the sedentary work in 1.5 months after discharge from the hospital. Heavier physical work can require longer period of recovery, some patient will not be able to return to the previous work because of the contraindications.

Lifestyle


In general, patients after the CABG have their usual lifestyle. Walking and stair climbing are particularly useful during rehabilitation period. But they should avoid longtime walks at very cold or too hot weather which exhaust the organism. In such a case it is better to create the conditions for physical activity at home, indoors.

Certainly, bad habits should be quitted — smoking can provoke heart attack. The patient should constantly monitor his blood pressure. (S)he should revise the diet and reduce consumption of salt, fats and products rich in cholesterol. Weight control is also recommended.

The patient is allowed to start driving when his/her physical condition is normalized. If driving belongs to your professional duties, you should discuss with the doctor the period of your returning to work.

Sexual life


The chest will completely recover in 3 months after the surgery. During this time no loads on the chest area are recommended and thus the patient should mind this factor during sexual life. As for the rest, there are no contraindications.

Risks and contraindications to CABG

The coronary artery bypass grafting eliminates a pain syndrome and abnormalities of coronary arteries but does not relieve in full from the atherosclerosis. The main aim of the procedure is to improve the patient’s condition for long term and to minimize the effect of atherosclerosis on the vessels.

Cardiologists advise the CABG because of inconvenience and low long-period efficiency rate of the prolonged medication.

In terms of mortality the coronary artery bypass grafting has extremely low risks - 3-2 %. The mortality rate after such operation is 3 times lower in comparison with the antianginal therapy and 2 times lower than after a longtime anti-ischemic therapy.

Contraindications to the surgery:

  • damage of all coronary arteries;
  • congestive cardiac and renal failure;
  • chronic nonspecific pulmonary pathologies;
  • renal failure;
  • oncology.

There are some risk factors in elderly patients but the age is not an absolute contraindication to the CABG. This is why prior to planning the surgery the doctor prescribes comprehensive examination of the patient and then decides if the patient can undergo the CABG.

9.4
Timing of response 9
 
Doctor's qualification 10
 
Medical equipment 10
 
Service and comfort 8
 
Popularity of the clinic 10
 
1991 patients received a treatment program
Using Bookimed, 1991 patients received individual treatment program in Sourasky Medical Center
4 requests per day
Description Services prices
Prices on services of the clinic
from 530 to 650$
from 370$
from 580$
from 650$
Sourasky Medical Center (Ichilov) is commonly recognised as the best multidisciplinary hospital in Israel. This is the second largest medical complex in the country. Sourasky Hospital is very well adapted for international patients. Firstly it is located near the international airport. Secondly there is a special service for foreigners which helps them to arrange the arrival and hospital stay as a whole. Besides the clinic is renowned for its attractive prices and progressive treatment methods.
  • Coronary artery bypass grafting
All reviews (49)
Hope and faith work miracles. If you have hope and opportunity, you have to use it undoubtedly. And the first decision that springs to mind is the sole right. Everything was performed qualitatively, people are responsive. I want to say thank you to Sofia (Coordinator of International Patients Support), who helped us to make a right and sole... Read full review
More
701 patients received a treatment program
Using Bookimed, 701 patients received individual treatment program in Asklepios Medical Group
55 requests for month
Description Services prices
Prices on services of the clinic
from 400 to 600€
from 260€
Transrectal ultrasound (TRUS) from 300€
Transrectal ultrasound-guided prostate biopsy from 1100€
Asklepios is a prestigious Germany's largest network of clinics that offers high quality service to patients and covers virtually all areas of medicine from ophthalmology to dentistry. Quality and introduction of innovative technologies allow the company to play a key role in the health sector and own several certificates from world-famous organizations, such as Cooperation for Transparency and Quality in the Healthcare Sector (CTQ), DIN-EN-ISO 9001:2000, JCI and European Foundation for Quality Management. Asklepios' mission – “Unity for Health” – makes it possible to develop the clinics for over 30 years.
  • Coronary artery bypass grafting
More
Description Services prices
Prices on services of the clinic
Check-up diagnostics from 300$
Consultation of a surgeon from 100$
Consultation of a surgeon
Consultation of an oncologist from 100$
Consultation of an oncologist
Medanta Institute is a large medical complex, which not only offers treatment in all areas of health, but  also have a research center. Director and founder of the Institute is the world famous cardiac surgeon, Dr. Naresh Trehan.
  • Coronary artery bypass grafting
All reviews (3)
India is staring at a major epidemic of cardiovascular diseases. The brain drain of trained medical doctors to USA, UK and Australia points to a steep spike in the morbidities and mortalities in near future. In the glimmer, Dr. Naresh Trehan/his team members presents a rare example of dedication to patient care over personal career. After a... Read full review
More
8.6
Timing of response 8
 
Doctor's qualification 8
 
Medical equipment 9
 
Service and comfort 8
 
Popularity of the clinic 10
 
717 patients received a treatment program
Using Bookimed, 717 patients received individual treatment program in Fortis Healthcare
10 requests for week
Description Services prices
Prices on services of the clinic
Sentinel lymph node biopsy
Bone marrow puncture with cytogenetic analysis
Consultation of a hematologist
from 2150 to 2250$
Network of health hospitals Fortis Healthcare is represented in many countries of Asia and has many years of experience in treating patients from all over the world. Total network includes 62 medical clinics complex, an increasing number of which are located in the territory of India.
  • Coronary artery bypass grafting
More
9
Timing of response 8
 
Doctor's qualification 10
 
Medical equipment 9
 
Service and comfort 10
 
Popularity of the clinic 8
 
After treatment, Bookimed will return you 3% of the cost of treatment
384 patients received a treatment program
Using Bookimed, 384 patients received individual treatment program in Teknon Hospital (Barcelona)
Description Services prices
Prices on services of the clinic
Sentinel lymph node biopsy from 600 to 650€
Biopsy from 800 to 2000€
Blood sugar level test
Bone gammagraphy from 190 to 200€
Bone marrow puncture with cytogenetic analysis from 1400 to 2000€
Teknon Medical Center (Medico Centro Teknon) demonstrates some of the highest success rates in the world for surgical treatment in oncology, general and bariatric surgery (weight loss). Teknon has the best statistics in Europe for the treatment of neurological diseases, including in children. Here Hollywood stars give birth, athletes and politicians of a worldwide fame are operated. Teknon means the most advanced equipment and the best doctors, well-known far beyond the borders of Spain. If you are interested in treatment in Spain, your choice is Teknon Medical Center in Barcelona.
  • Coronary artery bypass grafting
All reviews (6)
The first sensation of my arrival - I am very satisfied with the service. We were greeted, brought to the hospital and what was promised to us was all done. We have a phone and when we do not understand something, we call and our translator immediately comes. I like it very much. And we have raised the hope that doctors here can help us and I... Read full review
More
352 patients received a treatment program
Using Bookimed, 352 patients received individual treatment program in Kardiolita Private Hospital
Description Services prices
Prices on services of the clinic
from 800€
from 6100€
Coronary angiography from 920€
ECG from 25€
Echocardiography from 90€
Kardiolita Hospital is the leading private multidisciplinary hospital - one of the largest private medical institutions in Lithuania and in the Baltic States. The Hospital offers a full range of medical services - from diagnostics to the most complex surgeries and post-operative rehabilitation in the best health resorts in Lithuania. Being a JCI accredited hospital working by the highest industry standards, it is equipped with modern medical facilities, high-level laboratory and air purification from pathogenic bacteria.
  • Coronary artery bypass grafting
All reviews (13)
We contacted Bookimed for help in organizing the consultation with angiosurgeon and duplex scanning of brachiocephalic arteries. Due to professional care of Bookimed coordinator Svetlana Kalinichenko we chose Kardiolita clinic in Vilnius and appointed date of the diagnostics. Because of the change of plans we needed to change the date of the... Read full review
More
Still undecided? Get a second opinion program in specialized clinics.
You`ve seen
Now other looking
  • 263 clinics for treatment
  • 80% clinics of Israel, Germany, USA
  • Book airline tickets and clinics
  • 100% truthful comments
  • 867 bookings of clinics per month
Galina S 968 days, 22 h., 58 min. ago
«My mother’s eye sight was deteriorating day by day. She even had a small panic about it. We didn’t think it was age related even though she was 62...»
Operative communication
Enter the time convenient for you:
Wait for the call from your coordinator.
Call will be free for you.
Close
Operative communication
Thanks for request!
Our manager will call you at chosen time.
Close