The Coronary Artery Bypass (CABG) is an operation to restore natural blood flow through a clogged coronary artery, also known as Coronary Artery Bypass Surgery. Obstructed coronary arteries are generally atherosclerotic layers of fibrous and fatty tissues where the coronary arteries are smaller or occluded. CHD is a disorder in which the plaque (plaque) in the coronary artery is formed. These arteries provide the heart with oxygen-rich blood. Fat, cholesterol, calcium, and other blood-containing compounds are the plates. The plaque will widen or block your cardiovascular arteries and reduce your cardiac blood flow. If the obstruction is severe, angina, respiratory shortage, and heart disease in some cases can occur.
You will have general surgical anesthesia.
The first step in the procedure is to prepare or remove the venous arteries used as bypasses by the surgeon.
The surgeon then makes a slit into the sternum (breast bone) down the middle of the chest so that you can see your heart and coronary arteries. Your heart is probably stopped for a brief amount of time so that the surgeon can do the bypass on a “silent” heart. The heart-lung bypassing system takes over the heart and lungs at this period so that the blood begins to flow in the remainder of the body. The surgery is known as “on-pump.” After the grafts are mounted, the pump is disabled. Blood flow and heartbeat return to normal.
Often the surgery will be conducted without the coronary, when the heart is still pounding. This is referred to as “off-pump” or “heart beating.”
How is it performed in B. P. Poddar?
CABG off-pumps: A CABG is performed without placing the patient in a heart-lung unit, and is a coronary art bypass (CABG). Off-pump CABG allows the operation of many vessels within the heart by stabilizing it mechanically. Off-pump treatment is minimally invasive in contrast to coronary surgery.
B.P Poddar conducts cardiac surgery that is minimally invasive. Most cardiac surgical practices today including breast separation are done by sternotomy. Minimally invasive cardiac surgery involves a number of incisions that are slightly narrower and less painful than traditional sternotomy. The minimal incisions are 3-4 inches invasive, relative to the 8 to 10 incisions for sternotomy. The dexterity of the hands of the surgeon is projected from these minor incisions in the process of procedures using specialist handheld and robotic instruments.
Minimally invasive procedures have some benefits relative to conventional methods, primarily due to decreased damage to the chest wall tissue. The advantages of minimally invasive heart surgery are:
- Smaller cuts
- Fewer scars
- Lower risk of infection
- The lack of blood
- Without pain
- Present hospitalization: stays after minimally invasive procedures are between 3 and 5 days, compared with 5 and 7 days of conventional cardiac sternotomy operations.
- Less physical limitations: The running of vehicles or elevating objects weighing more than 5 pounds is limited for patients who are undergoing regular cardiac incisions, while patients who perform minimally intrusive cardiac procedures are not subject to these restrictions.
- Shorter recovery time: Recovery times after minimum invasive procedures for regular sternotomy related cardiac operations vary from 2 to 4 weeks compared to six to 8 weeks.